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
do you do you have any symptoms now well which is	[ "Acute Symptoms" ]	[ "Subjective" ]	1,600
mm-hmm do you have any sensory loss meaning like numbness or tingling in that part of your face	[ "Acute Symptoms" ]	[ "Subjective" ]	1,601
yeah , so it sounds like we are not too far out of where we wan na be .	[ "Personal History" ]	[ "Subjective" ]	1,602
well let me go ahead and listen , so hop on up here for me .	[ "Physical Examination" ]	[ "Objective" ]	1,603
correct . we'll see you all then . bye randy , feel better .	[ "Chitchat" ]	[ "Null" ]	1,604
okay are you a big gardener or this is something that you just started working in the yard	[ "Other Socials" ]	[ "Subjective" ]	1,605
okay . so again , try to keep the feet moisturized .	[ "Discussion" ]	[ "Plan" ]	1,606
hi elizabeth so i see that you were experiencing some kind of injury did you say that you hurt your knee	[ "Acute Symptoms", "Greetings" ]	[ "Subjective" ]	1,607
all right , keep wearing your splints , and i will see you after those studies .	[ "Discussion" ]	[ "Plan" ]	1,608
karen is a 34 -year-old female with a history of chronic migraines and hypertension who is here today with abdominal pain so hi there karen it's nice to see you again listen i'm sorry you're not feeling well and you've got abdominal pain like to talk about that in some detail with you but hey i wan na use this new cool app that's gon na help me focus on you a bit more in this visit would that be okay with you	[ "Acute Symptoms", "Personal History", "Greetings" ]	[ "Subjective" ]	1,609
so ... but i would try to rest my , your left arm-	[ "Discussion" ]	[ "Plan" ]	1,610
okay . well , crestor is one of the medications that can cause liver toxicity so it may be a good idea to discuss other alternatives .	[ "Discussion", "Medication" ]	[ "Plan" ]	1,611
okay . and your primary care doctor is following you for that , right ?	[ "Acute Symptoms" ]	[ "Subjective" ]	1,612
okay . okay .	[ "Personal History" ]	[ "Subjective" ]	1,613
yep that's good though full full extension how far can you bend it	[ "Physical Examination" ]	[ "Objective" ]	1,614
okay . all right . i wan na go ahead and do a quick physical exam .	[ "Physical Examination" ]	[ "Objective" ]	1,615
okay . and you feel like you have a good support system ?	[ "Other Socials" ]	[ "Subjective" ]	1,616
okay . um , what kind of work do you do ? and are you married ?	[ "Other Socials" ]	[ "Subjective" ]	1,617
. instead-	[ "Discussion" ]	[ "Plan" ]	1,618
okay for the diabetes the the second problem that we talked about today i'm gon na order another hemoglobin a1c continue the metformin five hundred milligrams twice a day why do n't we have you come back in about two weeks and we should have some of the results back and we can discuss if we need to make any modifications for that but right now we will continue the course and we will go from there okay for the high blood pressure you do have this one plus edema in your legs i'm gon na go ahead and order some blood work today i'm gon na go ahead and stop the norvasc and we'll put you on some hydrochlorothiazide ten milligrams once a day and if that does n't get if the swelling does n't go away i'm gon na do some more testing for right now let's get some sort off with some cbc and a bmp i'm gon na check your kidney function i'm gon na get another ekg and also i'm gon na get a chest x-ray and we'll go from there but hopefully this will go away once we stop this medication since it started around that time okay okay and i think that's it anything else we forgot about do you need refills for anything	[ "Medication", "Diagnostic Testing", "Reassessment" ]	[ "Assessment", "Plan" ]	1,619
. exam . hey , dragon , show me the blood pressure . so , here , your blood pressure is a little high .	[ "Physical Examination" ]	[ "Objective" ]	1,620
okay , all right . well , i'm gon na go ahead and do a quick physical exam , okay ?	[ "Chitchat" ]	[ "Null" ]	1,621
okay ? so , i'm just gon na check you out , and i'm gon na let you know what i find , okay ?	[ "Discussion" ]	[ "Objective" ]	1,622
okay , well , i'm unfamiliar with it , so ...	[ "Discussion" ]	[ "Subjective", "Plan" ]	1,623
for the high blood pressure definitely hold off on the norvasc for right now let's figure out what's going what's causing this episode of shortness of breath i want some blood testing done and and once we have that under better control we can reassess your blood pressure so right now hold the norvasc and then we'll have you come back once everything is done okay	[ "Follow-up", "Medication", "Diagnostic Testing", "Reassessment" ]	[ "Assessment", "Plan" ]	1,624
maybe we'll try different pharmacy , as well .	[ "Medication", "Discussion" ]	[ "Plan" ]	1,625
okay take care i'll talk to you later	[ "Chitchat" ]	[ "Null" ]	1,626
okay so i can prescribe you some tramadol you know that should help fifty milligrams that should help you out if you do have any of that pain if you get any breakthrough pain from that you can take that ibuprofen it should help you you know with everything and hopefully you can get through that weekend i know you went to the your pcp prior to coming to see me did they give you a strainer	[ "Discussion", "Medication" ]	[ "Plan" ]	1,627
okay alright so without any ibuprofen can you tell me what your pain level is	[ "Acute Symptoms" ]	[ "Subjective" ]	1,628
mm-hmm	[ "Acute Symptoms", "Therapeutic History" ]	[ "Subjective" ]	1,629
okay alright and so would you say that your appetite has been normal or decreased or any different	[ "Vegetative History" ]	[ "Subjective" ]	1,630
okay , good . um , anything else going on ?	[ "Acute Symptoms" ]	[ "Subjective" ]	1,631
okay so are you still noticing any blood in your urine	[ "Vegetative History" ]	[ "Subjective" ]	1,632
all right . take care , joyce .	[ "Chitchat" ]	[ "Null" ]	1,633
okay . all right . and , how about any joint pain or muscle aches ?	[ "Acute Symptoms" ]	[ "Subjective" ]	1,634
okay . all right . so , you've had some headaches . have you had any chest pain , shortness of breath , anything like that ?	[ "Acute Symptoms" ]	[ "Subjective" ]	1,635
you seem a little bit weaker on that left hand is that what you've noticed	[ "Physical Examination" ]	[ "Objective" ]	1,636
okay . and are you able to , um , do your activities of daily living ? do you exercise , go to the store , that type of thing ?	[ "Personal History", "Other Socials" ]	[ "Subjective" ]	1,637
okay okay alright yeah well i definitely i'm glad you're getting some exercise now that's good for your diabetes and all that and out there playing tennis kinda back back to the back to the old days for you right did do i recall that were n't you a big tennis player back in the day like state champ in high school or something	[ "Personal History", "Other Socials" ]	[ "Subjective" ]	1,638
no it's fine how about your water consumption	[ "Vegetative History" ]	[ "Subjective" ]	1,639
okay . all right . now , tell me a little bit about your , your heart failure . you know , i have n't seen you in a while .	[ "Personal History" ]	[ "Subjective" ]	1,640
okay alright and so how about your diabetes how's your diabetes been doing how your blood sugars been what low one hundreds two hundreds where where is it	[ "Personal History" ]	[ "Subjective" ]	1,641
so did you hear about the new major league soccer stadium and team that's coming to town they opened in the this year actually they built the stadium have you been down there yet	[ "Chitchat" ]	[ "Null" ]	1,642
alright well great seeing you thanks for coming in today	[ "Chitchat" ]	[ "Null" ]	1,643
okay . yeah . so we do see that some people are very sensitive when the drink certain items , especially the carbonation . um , it can make it burn a little bit when they urinate . um ... okay . so a lot of different pictures of her kidneys here , and we'll review all of that here in a moment . um-	[ "Acute Symptoms" ]	[ "Subjective" ]	1,644
non-tender to palpation , no evidence of cellulitis . um , and the rest of , you know , the rest of your exam is pretty normal , okay ? so let me just go over some of the results with you , okay ?	[ "Physical Examination", "Lab Examination" ]	[ "Objective" ]	1,645
and then when was your last exacerbation	[ "Personal History" ]	[ "Subjective" ]	1,646
i saw that .	[ "Acute Symptoms" ]	[ "Subjective" ]	1,647
yeah you you're probably gon na be out for about three months but continue the coaching go ahead and and let's get you back out there we'll get you some crutches and and hopefully you can kinda you know get back on the court start coaching and then within that three months we'll we'll get you back out doing some exercise again	[ "Discussion", "Other Treatments" ]	[ "Plan" ]	1,648
yeah it's awesome	[ "Chitchat" ]	[ "Null" ]	1,649
a couple months ago . you've been feeling well since then ?	[ "Personal History" ]	[ "Subjective" ]	1,650
sure yeah okay so you're taking your meds mostly we talked about getting you a blood pressure cuff at home did you end up getting one of those	[ "Personal History" ]	[ "Subjective" ]	1,651
so , lawrence is a 62-year-old male , with a past medical history significant for type i diabetes , congestive heart failure , depression , and reflux , who presents with complaints of shortness of breath . so lawrence , what's been going on ? wh- what's wrong with your breathing ?	[ "Acute Symptoms", "Personal History" ]	[ "Subjective" ]	1,652
so , you've come to see me today because you had a right breast lumpectomy last year . is that right ?	[ "Personal History" ]	[ "Subjective" ]	1,653
yeah so many patients are very successful with rehab and so we'll start with that and see how you do most most of the time once we build up those muscles around that shoulder you know things things the pain alleviates itself and and and you will be good to go back to working on your basement and running and jogging and lifting weights all all the active things people do these days	[ "Chitchat" ]	[ "Null" ]	1,654
um , and i'll send those to your pharmacy . does that sound okay ?	[ "Chitchat" ]	[ "Null" ]	1,655
okay . all right . well , let's go ahead , i want to do a quick physical exam . okay ?	[ "Physical Examination" ]	[ "Objective" ]	1,656
okay . all right . and , um , do you have any history of any seasonal allergies at all ?	[ "Personal History" ]	[ "Subjective" ]	1,657
okay where did you go	[ "Other Socials" ]	[ "Subjective" ]	1,658
hi , louis . how are you ?	[ "Greetings" ]	[ "Subjective" ]	1,659
okay and can you describe a little bit for me what happens	[ "Acute Symptoms" ]	[ "Subjective" ]	1,660
hey , dragon ? show me the labs . and your labs look okay . you know , you do n't have an elevated white blood cell count so i'm not really concerned about infection . we saw the chest x-ray , there's no pneumonia , so that's good .	[ "Lab Examination" ]	[ "Objective" ]	1,661
so , how are you doing today ? i hear that you're here for std testing . is that correct ?	[ "Acute Symptoms" ]	[ "Subjective" ]	1,662
okay . and i remember your affinity for chocolate bars , so ...	[ "Vegetative History" ]	[ "Subjective" ]	1,663
great . so remember when you check out the front desk , schedule follow-up appointment with me for four weeks and then go to the lab to get your blood work drawn .	[ "Follow-up", "Diagnostic Testing" ]	[ "Plan" ]	1,664
alright how about the outside	[ "Physical Examination" ]	[ "Objective" ]	1,665
i used to get tumor guy but i i really kinda moved over to nike	[ "Chitchat" ]	[ "Null" ]	1,666
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	[ "Acute Symptoms" ]	[ "Subjective" ]	1,667
and no okay so now it clicks when you walk okay does it hurt when you walk	[ "Acute Symptoms" ]	[ "Subjective" ]	1,668
okay alright so on a on a scale of one to ten with ten being your arm is actively being sought off by a chainsaw how bad is the pain	[ "Acute Symptoms" ]	[ "Subjective" ]	1,669
okay ? for your second problem of your type i diabetes , um , let's go ahead ... i wan na order a hemoglobin a1c for , um , uh , just in a , like a month or so , just to see if we have to make any adjustments . and i want you to follow up with your endocrinologist . okay ? and i also want to make sure that you have a recent eye exam . all right ? uh , for your third problem of your depression , let's go ahead and refer you to psychiatry , just for some , um , like , talk therapy to help you through that . okay ?	[ "Discussion", "Follow-up", "Referral", "Diagnostic Testing", "Reassessment" ]	[ "Assessment", "Plan" ]	1,670
all right , thank you , mr. cook . okay , first , we'll go over your review of systems . correct me if i'm wrong in any of this . constitutional , you have fatigue and weight gain ; gi , you have excessive appetite and bloating ; eyes have floaters ; cardiovascular shows shortness of breath and leg swelling ; endocrine , you're always hungry ; skin , you have some nail bed changes , dryness , itching ; musculoskeletal , you have gout and muscle pain . and the remainder of the review of systems is negative .	[ "Acute Symptoms", "Vegetative History" ]	[ "Subjective" ]	1,671
okay so you've had surgery before alright do you remember what kind of surgery	[ "Personal History" ]	[ "Subjective" ]	1,672
all right . well , it was nice meeting you , my friend .	[ "Chitchat" ]	[ "Null" ]	1,673
alright so i'll see you again in two weeks i'll have my nurse come in and bring you that prescription for the tramadol and i think we are all good	[ "Follow-up" ]	[ "Plan" ]	1,674
good , uh , it plays a huge part in lowering your pressure and , uh , staying away from salt is important . um , i'll give you some information on the dash eating plan , which is the only eating plan that has been shown to lower blood pressure .	[ "Vegetative History" ]	[ "Subjective" ]	1,675
okay . that's good . any abdominal pain ?	[ "Vegetative History" ]	[ "Subjective" ]	1,676
i do n't think so .	[ "Personal History" ]	[ "Subjective" ]	1,677
you ever get leg or finger cramps or anything like that ?	[ "Personal History" ]	[ "Subjective" ]	1,678
maybe your sister okay	[ "Family History" ]	[ "Subjective" ]	1,679
all right , take care . bye .	[ "Chitchat" ]	[ "Null" ]	1,680
okay . s- um , so , presumably what's happening , then , is when you're sleeping your neck is kind of gets off-tilt , uh , kilter , and it compresses the nerve roots there . now , if you think you're doing fine , we could hold off , but at the very la- least , i'd like to update that mri of yours and see what's going on , because probably this is something that will likely flare up again .	[ "Discussion", "Diagnostic Testing" ]	[ "Plan" ]	1,681
mm-hmm	[ "Acute Symptoms" ]	[ "Subjective" ]	1,682
lungs are clear , bilateral heart sounds are normal , no murmurs , gallops , or rubs noted .	[ "Physical Examination" ]	[ "Objective" ]	1,683
okay , so we'll talk again in six weeks , and we can discuss your job again at that time .	[ "Follow-up" ]	[ "Plan" ]	1,684
um , in these cases , there's medicine called , uh , spironolactone , that is very effective at dropping the ald- aldosterone level , and your blood pressure , and i think we should give that a try .	[ "Discussion", "Medication" ]	[ "Plan" ]	1,685
okay . all right . so , yeah , i see on here that you do take norvasc , five mg a day and you've been taking that every day-	[ "Personal History", "Therapeutic History" ]	[ "Subjective" ]	1,686
okay , and is it right here on the , on the tip ?	[ "Acute Symptoms" ]	[ "Subjective" ]	1,687
what i would do is use something like either head & shoulder's , or selsun blue , or nizoral ad . now , do n't get the extra strength stuff , just use the regular strength . um , cradle cap , it's just basically a fancy way of saying dandruff . so , those shampoos will help get rid of it . it's not an immediate thing 'cause they , um , they are all dead scales , and you still have to brush them off . so , continue to use the soft brush and some baby oil , or something that will help get the scales out , and those shampoos will actually help to prevent it as well . use it two times per week , not every day , but maybe twice a week . so , two days between shampooing , use what you normally use any other time . and then , often , within six weeks or so , you'll notice that the-the cradle cap is just , um , not coming back anymore . but , he has to be careful because it's not ph balanced for eyes . so , just make sure when you're rinsing his hair you avoid his eyes .	[ "Discussion", "Medication" ]	[ "Plan" ]	1,688
any questions about that	[ "Discussion" ]	[ "Plan" ]	1,689
james is a 57 year old male with a past medical history significant for coronary artery disease and lupus , who presents today with joint pain . so james , what's what's going on ?	[ "Acute Symptoms", "Personal History" ]	[ "Subjective" ]	1,690
and the parking i'm sure the parking is	[ "Chitchat" ]	[ "Null" ]	1,691
okay . and in your neck and your upper back . and how long has this been going on ? would you say five years , 10 years , or even since puberty ?	[ "Personal History" ]	[ "Subjective" ]	1,692
so john is a 55-year-old male with a past medical history significant for anxiety and epilepsy who presents with an abnormal lab finding . so , john , um , i , uh , was notified by the emergency room that you , um , had a really high blood sugar and you were in there with , uh ... they had to treat you for that , what was going on ?	[ "Acute Symptoms", "Personal History" ]	[ "Subjective" ]	1,693
alright pain with flexion and when bending the wrist alright when i listen to you you know i'm just gon na check your heart and lungs everything sounds sounds good no murmur no rub no gallop your lungs are clear bilaterally to bilaterally to auscultation i'm not noticing any rash for your at your elbow i do n't notice any bruising any swelling we do wan na note that tenderness but otherwise there is no discoloration no lesions so that's good your pulses and are equal bilaterally and i think i think we have an idea of what we are dealing with here okay so i'm gon na go ahead and give you my impression and plan for your your first problem like your primary problem that you are here for is right elbow pain it's consistent with medial epicondylitis and that it just means it's pain caused from overuse and damage to the tendons in your arm what we are gon na do is rest it i'm gon na order a sling for your right arm and you can wear this while you're awake well i want you to apply ice to your elbow for twenty minutes three times a day i'm going to i'm gon na ask you to take six hundred milligrams of ibuprofen that's three pills every six hours with food and you can take that for one week i know it's really important that you said that you have something that a gift that you wan na make for your son but we're gon na hold off on pottery for the next couple of weeks just to give your arm a chance to heal you know like it's awesome that you wan na be able to do these things for your family but sometimes you know your body is not where your where your where your heart is like where your heart and your head are right and then so	[ "Physical Examination", "Medication", "Other Treatments", "Acute Assessment" ]	[ "Objective", "Assessment", "Plan" ]	1,694
uh , they did n't do a ct scan , they just did an x-ray . but you feel like you're back to your normal self now ?	[ "Personal History" ]	[ "Subjective" ]	1,695
okay and i know you were mentioning a cough before how is it as far as walking are you having any shortness of breath	[ "Vegetative History" ]	[ "Subjective" ]	1,696
okay now tell me have you noticed any other symptoms how about like fever or chills	[ "Vegetative History" ]	[ "Subjective" ]	1,697
so i'm not too concerned about that , that chest pounding . hey , dragon , show me the chest x-ray . and we also did a chest x-ray , which , which looks really good , uh , and you know , your prior lobectomy , there's no ... everything looks good , okay ? it looks normal . so let's talk a little bit about my assessment and my plan for you . so for your first problem , your , your depression , it seems , again , like you're doing really well-	[ "Discussion", "Radiology Examination", "Reassessment" ]	[ "Objective", "Assessment", "Plan" ]	1,698
okay . yeah . i know you were having , you know , some problems with your right knee , uh , and we sent you for physical therapy . so , so that's going well ?	[ "Personal History" ]	[ "Subjective" ]	1,699

do you do you have any symptoms now well which is

[ "Acute Symptoms" ]

[ "Subjective" ]

1,600

mm-hmm do you have any sensory loss meaning like numbness or tingling in that part of your face

[ "Acute Symptoms" ]

[ "Subjective" ]

1,601

yeah , so it sounds like we are not too far out of where we wan na be .

[ "Personal History" ]

[ "Subjective" ]

1,602

well let me go ahead and listen , so hop on up here for me .

[ "Physical Examination" ]

[ "Objective" ]

1,603

correct . we'll see you all then . bye randy , feel better .

[ "Chitchat" ]

[ "Null" ]

1,604

okay are you a big gardener or this is something that you just started working in the yard

[ "Other Socials" ]

[ "Subjective" ]

1,605

okay . so again , try to keep the feet moisturized .

[ "Discussion" ]

[ "Plan" ]

1,606

hi elizabeth so i see that you were experiencing some kind of injury did you say that you hurt your knee

[ "Acute Symptoms", "Greetings" ]

[ "Subjective" ]

1,607

all right , keep wearing your splints , and i will see you after those studies .

[ "Discussion" ]

[ "Plan" ]

1,608

karen is a 34 -year-old female with a history of chronic migraines and hypertension who is here today with abdominal pain so hi there karen it's nice to see you again listen i'm sorry you're not feeling well and you've got abdominal pain like to talk about that in some detail with you but hey i wan na use this new cool app that's gon na help me focus on you a bit more in this visit would that be okay with you

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

[ "Subjective" ]

1,609

so ... but i would try to rest my , your left arm-

[ "Discussion" ]

[ "Plan" ]

1,610

okay . well , crestor is one of the medications that can cause liver toxicity so it may be a good idea to discuss other alternatives .

[ "Discussion", "Medication" ]

[ "Plan" ]

1,611

okay . and your primary care doctor is following you for that , right ?

[ "Acute Symptoms" ]

[ "Subjective" ]

1,612

okay . okay .

[ "Personal History" ]

[ "Subjective" ]

1,613

yep that's good though full full extension how far can you bend it

[ "Physical Examination" ]

[ "Objective" ]

1,614

okay . all right . i wan na go ahead and do a quick physical exam .

[ "Physical Examination" ]

[ "Objective" ]

1,615

okay . and you feel like you have a good support system ?

[ "Other Socials" ]

[ "Subjective" ]

1,616

okay . um , what kind of work do you do ? and are you married ?

[ "Other Socials" ]

[ "Subjective" ]

1,617

. instead-

[ "Discussion" ]

[ "Plan" ]

1,618

okay for the diabetes the the second problem that we talked about today i'm gon na order another hemoglobin a1c continue the metformin five hundred milligrams twice a day why do n't we have you come back in about two weeks and we should have some of the results back and we can discuss if we need to make any modifications for that but right now we will continue the course and we will go from there okay for the high blood pressure you do have this one plus edema in your legs i'm gon na go ahead and order some blood work today i'm gon na go ahead and stop the norvasc and we'll put you on some hydrochlorothiazide ten milligrams once a day and if that does n't get if the swelling does n't go away i'm gon na do some more testing for right now let's get some sort off with some cbc and a bmp i'm gon na check your kidney function i'm gon na get another ekg and also i'm gon na get a chest x-ray and we'll go from there but hopefully this will go away once we stop this medication since it started around that time okay okay and i think that's it anything else we forgot about do you need refills for anything

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

[ "Assessment", "Plan" ]

1,619

. exam . hey , dragon , show me the blood pressure . so , here , your blood pressure is a little high .

[ "Physical Examination" ]

[ "Objective" ]

1,620

okay , all right . well , i'm gon na go ahead and do a quick physical exam , okay ?

[ "Chitchat" ]

[ "Null" ]

1,621

okay ? so , i'm just gon na check you out , and i'm gon na let you know what i find , okay ?

[ "Discussion" ]

[ "Objective" ]

1,622

okay , well , i'm unfamiliar with it , so ...

[ "Discussion" ]

[ "Subjective", "Plan" ]

1,623

for the high blood pressure definitely hold off on the norvasc for right now let's figure out what's going what's causing this episode of shortness of breath i want some blood testing done and and once we have that under better control we can reassess your blood pressure so right now hold the norvasc and then we'll have you come back once everything is done okay

[ "Follow-up", "Medication", "Diagnostic Testing", "Reassessment" ]

[ "Assessment", "Plan" ]

1,624

maybe we'll try different pharmacy , as well .

[ "Medication", "Discussion" ]

[ "Plan" ]

1,625

okay take care i'll talk to you later

[ "Chitchat" ]

[ "Null" ]

1,626

okay so i can prescribe you some tramadol you know that should help fifty milligrams that should help you out if you do have any of that pain if you get any breakthrough pain from that you can take that ibuprofen it should help you you know with everything and hopefully you can get through that weekend i know you went to the your pcp prior to coming to see me did they give you a strainer

[ "Discussion", "Medication" ]

[ "Plan" ]

1,627

okay alright so without any ibuprofen can you tell me what your pain level is

[ "Acute Symptoms" ]

[ "Subjective" ]

1,628

mm-hmm

[ "Acute Symptoms", "Therapeutic History" ]

[ "Subjective" ]

1,629

okay alright and so would you say that your appetite has been normal or decreased or any different

[ "Vegetative History" ]

[ "Subjective" ]

1,630

okay , good . um , anything else going on ?

[ "Acute Symptoms" ]

[ "Subjective" ]

1,631

okay so are you still noticing any blood in your urine

[ "Vegetative History" ]

[ "Subjective" ]

1,632

all right . take care , joyce .

[ "Chitchat" ]

[ "Null" ]

1,633

okay . all right . and , how about any joint pain or muscle aches ?

[ "Acute Symptoms" ]

[ "Subjective" ]

1,634

okay . all right . so , you've had some headaches . have you had any chest pain , shortness of breath , anything like that ?

[ "Acute Symptoms" ]

[ "Subjective" ]

1,635

you seem a little bit weaker on that left hand is that what you've noticed

[ "Physical Examination" ]

[ "Objective" ]

1,636

okay . and are you able to , um , do your activities of daily living ? do you exercise , go to the store , that type of thing ?

[ "Personal History", "Other Socials" ]

[ "Subjective" ]

1,637

okay okay alright yeah well i definitely i'm glad you're getting some exercise now that's good for your diabetes and all that and out there playing tennis kinda back back to the back to the old days for you right did do i recall that were n't you a big tennis player back in the day like state champ in high school or something

[ "Personal History", "Other Socials" ]

[ "Subjective" ]

1,638

no it's fine how about your water consumption

[ "Vegetative History" ]

[ "Subjective" ]

1,639

okay . all right . now , tell me a little bit about your , your heart failure . you know , i have n't seen you in a while .

[ "Personal History" ]

[ "Subjective" ]

1,640

okay alright and so how about your diabetes how's your diabetes been doing how your blood sugars been what low one hundreds two hundreds where where is it

[ "Personal History" ]

[ "Subjective" ]

1,641

so did you hear about the new major league soccer stadium and team that's coming to town they opened in the this year actually they built the stadium have you been down there yet

[ "Chitchat" ]

[ "Null" ]

1,642

alright well great seeing you thanks for coming in today

[ "Chitchat" ]

[ "Null" ]

1,643

okay . yeah . so we do see that some people are very sensitive when the drink certain items , especially the carbonation . um , it can make it burn a little bit when they urinate . um ... okay . so a lot of different pictures of her kidneys here , and we'll review all of that here in a moment . um-

[ "Acute Symptoms" ]

[ "Subjective" ]

1,644

non-tender to palpation , no evidence of cellulitis . um , and the rest of , you know , the rest of your exam is pretty normal , okay ? so let me just go over some of the results with you , okay ?

[ "Physical Examination", "Lab Examination" ]

[ "Objective" ]

1,645

and then when was your last exacerbation

[ "Personal History" ]

[ "Subjective" ]

1,646

i saw that .

[ "Acute Symptoms" ]

[ "Subjective" ]

1,647

yeah you you're probably gon na be out for about three months but continue the coaching go ahead and and let's get you back out there we'll get you some crutches and and hopefully you can kinda you know get back on the court start coaching and then within that three months we'll we'll get you back out doing some exercise again

[ "Discussion", "Other Treatments" ]

[ "Plan" ]

1,648

yeah it's awesome

[ "Chitchat" ]

[ "Null" ]

1,649

a couple months ago . you've been feeling well since then ?

[ "Personal History" ]

[ "Subjective" ]

1,650

sure yeah okay so you're taking your meds mostly we talked about getting you a blood pressure cuff at home did you end up getting one of those

[ "Personal History" ]

[ "Subjective" ]

1,651

so , lawrence is a 62-year-old male , with a past medical history significant for type i diabetes , congestive heart failure , depression , and reflux , who presents with complaints of shortness of breath . so lawrence , what's been going on ? wh- what's wrong with your breathing ?

[ "Acute Symptoms", "Personal History" ]

[ "Subjective" ]

1,652

so , you've come to see me today because you had a right breast lumpectomy last year . is that right ?

[ "Personal History" ]

[ "Subjective" ]

1,653

yeah so many patients are very successful with rehab and so we'll start with that and see how you do most most of the time once we build up those muscles around that shoulder you know things things the pain alleviates itself and and and you will be good to go back to working on your basement and running and jogging and lifting weights all all the active things people do these days

[ "Chitchat" ]

[ "Null" ]

1,654

um , and i'll send those to your pharmacy . does that sound okay ?

[ "Chitchat" ]

[ "Null" ]

1,655

okay . all right . well , let's go ahead , i want to do a quick physical exam . okay ?

[ "Physical Examination" ]

[ "Objective" ]

1,656

okay . all right . and , um , do you have any history of any seasonal allergies at all ?

[ "Personal History" ]

[ "Subjective" ]

1,657

okay where did you go

[ "Other Socials" ]

[ "Subjective" ]

1,658

hi , louis . how are you ?

[ "Greetings" ]

[ "Subjective" ]

1,659

okay and can you describe a little bit for me what happens

[ "Acute Symptoms" ]

[ "Subjective" ]

1,660

hey , dragon ? show me the labs . and your labs look okay . you know , you do n't have an elevated white blood cell count so i'm not really concerned about infection . we saw the chest x-ray , there's no pneumonia , so that's good .

[ "Lab Examination" ]

[ "Objective" ]

1,661

so , how are you doing today ? i hear that you're here for std testing . is that correct ?

[ "Acute Symptoms" ]

[ "Subjective" ]

1,662

okay . and i remember your affinity for chocolate bars , so ...

[ "Vegetative History" ]

[ "Subjective" ]

1,663

great . so remember when you check out the front desk , schedule follow-up appointment with me for four weeks and then go to the lab to get your blood work drawn .

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

[ "Plan" ]

1,664

alright how about the outside

[ "Physical Examination" ]

[ "Objective" ]

1,665

i used to get tumor guy but i i really kinda moved over to nike

[ "Chitchat" ]

[ "Null" ]

1,666

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

[ "Acute Symptoms" ]

[ "Subjective" ]

1,667

and no okay so now it clicks when you walk okay does it hurt when you walk

[ "Acute Symptoms" ]

[ "Subjective" ]

1,668

okay alright so on a on a scale of one to ten with ten being your arm is actively being sought off by a chainsaw how bad is the pain

[ "Acute Symptoms" ]

[ "Subjective" ]

1,669

okay ? for your second problem of your type i diabetes , um , let's go ahead ... i wan na order a hemoglobin a1c for , um , uh , just in a , like a month or so , just to see if we have to make any adjustments . and i want you to follow up with your endocrinologist . okay ? and i also want to make sure that you have a recent eye exam . all right ? uh , for your third problem of your depression , let's go ahead and refer you to psychiatry , just for some , um , like , talk therapy to help you through that . okay ?

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

[ "Assessment", "Plan" ]

1,670

all right , thank you , mr. cook . okay , first , we'll go over your review of systems . correct me if i'm wrong in any of this . constitutional , you have fatigue and weight gain ; gi , you have excessive appetite and bloating ; eyes have floaters ; cardiovascular shows shortness of breath and leg swelling ; endocrine , you're always hungry ; skin , you have some nail bed changes , dryness , itching ; musculoskeletal , you have gout and muscle pain . and the remainder of the review of systems is negative .

[ "Acute Symptoms", "Vegetative History" ]

[ "Subjective" ]

1,671

okay so you've had surgery before alright do you remember what kind of surgery

[ "Personal History" ]

[ "Subjective" ]

1,672

all right . well , it was nice meeting you , my friend .

[ "Chitchat" ]

[ "Null" ]

1,673

alright so i'll see you again in two weeks i'll have my nurse come in and bring you that prescription for the tramadol and i think we are all good

[ "Follow-up" ]

[ "Plan" ]

1,674

good , uh , it plays a huge part in lowering your pressure and , uh , staying away from salt is important . um , i'll give you some information on the dash eating plan , which is the only eating plan that has been shown to lower blood pressure .

[ "Vegetative History" ]

[ "Subjective" ]

1,675

okay . that's good . any abdominal pain ?

[ "Vegetative History" ]

[ "Subjective" ]

1,676

i do n't think so .

[ "Personal History" ]

[ "Subjective" ]

1,677

you ever get leg or finger cramps or anything like that ?

[ "Personal History" ]

[ "Subjective" ]

1,678

maybe your sister okay

[ "Family History" ]

[ "Subjective" ]

1,679

all right , take care . bye .

[ "Chitchat" ]

[ "Null" ]

1,680

okay . s- um , so , presumably what's happening , then , is when you're sleeping your neck is kind of gets off-tilt , uh , kilter , and it compresses the nerve roots there . now , if you think you're doing fine , we could hold off , but at the very la- least , i'd like to update that mri of yours and see what's going on , because probably this is something that will likely flare up again .

[ "Discussion", "Diagnostic Testing" ]

[ "Plan" ]

1,681

mm-hmm

[ "Acute Symptoms" ]

[ "Subjective" ]

1,682

lungs are clear , bilateral heart sounds are normal , no murmurs , gallops , or rubs noted .

[ "Physical Examination" ]

[ "Objective" ]

1,683

okay , so we'll talk again in six weeks , and we can discuss your job again at that time .

[ "Follow-up" ]

[ "Plan" ]

1,684

um , in these cases , there's medicine called , uh , spironolactone , that is very effective at dropping the ald- aldosterone level , and your blood pressure , and i think we should give that a try .

[ "Discussion", "Medication" ]

[ "Plan" ]

1,685

okay . all right . so , yeah , i see on here that you do take norvasc , five mg a day and you've been taking that every day-

[ "Personal History", "Therapeutic History" ]

[ "Subjective" ]

1,686

okay , and is it right here on the , on the tip ?

[ "Acute Symptoms" ]

[ "Subjective" ]

1,687

what i would do is use something like either head & shoulder's , or selsun blue , or nizoral ad . now , do n't get the extra strength stuff , just use the regular strength . um , cradle cap , it's just basically a fancy way of saying dandruff . so , those shampoos will help get rid of it . it's not an immediate thing 'cause they , um , they are all dead scales , and you still have to brush them off . so , continue to use the soft brush and some baby oil , or something that will help get the scales out , and those shampoos will actually help to prevent it as well . use it two times per week , not every day , but maybe twice a week . so , two days between shampooing , use what you normally use any other time . and then , often , within six weeks or so , you'll notice that the-the cradle cap is just , um , not coming back anymore . but , he has to be careful because it's not ph balanced for eyes . so , just make sure when you're rinsing his hair you avoid his eyes .

[ "Discussion", "Medication" ]

[ "Plan" ]

1,688

any questions about that

[ "Discussion" ]

[ "Plan" ]

1,689

james is a 57 year old male with a past medical history significant for coronary artery disease and lupus , who presents today with joint pain . so james , what's what's going on ?

[ "Acute Symptoms", "Personal History" ]

[ "Subjective" ]

1,690

and the parking i'm sure the parking is

[ "Chitchat" ]

[ "Null" ]

1,691

okay . and in your neck and your upper back . and how long has this been going on ? would you say five years , 10 years , or even since puberty ?

[ "Personal History" ]

[ "Subjective" ]

1,692

so john is a 55-year-old male with a past medical history significant for anxiety and epilepsy who presents with an abnormal lab finding . so , john , um , i , uh , was notified by the emergency room that you , um , had a really high blood sugar and you were in there with , uh ... they had to treat you for that , what was going on ?

[ "Acute Symptoms", "Personal History" ]

[ "Subjective" ]

1,693

alright pain with flexion and when bending the wrist alright when i listen to you you know i'm just gon na check your heart and lungs everything sounds sounds good no murmur no rub no gallop your lungs are clear bilaterally to bilaterally to auscultation i'm not noticing any rash for your at your elbow i do n't notice any bruising any swelling we do wan na note that tenderness but otherwise there is no discoloration no lesions so that's good your pulses and are equal bilaterally and i think i think we have an idea of what we are dealing with here okay so i'm gon na go ahead and give you my impression and plan for your your first problem like your primary problem that you are here for is right elbow pain it's consistent with medial epicondylitis and that it just means it's pain caused from overuse and damage to the tendons in your arm what we are gon na do is rest it i'm gon na order a sling for your right arm and you can wear this while you're awake well i want you to apply ice to your elbow for twenty minutes three times a day i'm going to i'm gon na ask you to take six hundred milligrams of ibuprofen that's three pills every six hours with food and you can take that for one week i know it's really important that you said that you have something that a gift that you wan na make for your son but we're gon na hold off on pottery for the next couple of weeks just to give your arm a chance to heal you know like it's awesome that you wan na be able to do these things for your family but sometimes you know your body is not where your where your where your heart is like where your heart and your head are right and then so

[ "Physical Examination", "Medication", "Other Treatments", "Acute Assessment" ]

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

1,694

uh , they did n't do a ct scan , they just did an x-ray . but you feel like you're back to your normal self now ?

[ "Personal History" ]

[ "Subjective" ]

1,695

okay and i know you were mentioning a cough before how is it as far as walking are you having any shortness of breath

[ "Vegetative History" ]

[ "Subjective" ]

1,696

okay now tell me have you noticed any other symptoms how about like fever or chills

[ "Vegetative History" ]

[ "Subjective" ]

1,697

so i'm not too concerned about that , that chest pounding . hey , dragon , show me the chest x-ray . and we also did a chest x-ray , which , which looks really good , uh , and you know , your prior lobectomy , there's no ... everything looks good , okay ? it looks normal . so let's talk a little bit about my assessment and my plan for you . so for your first problem , your , your depression , it seems , again , like you're doing really well-

[ "Discussion", "Radiology Examination", "Reassessment" ]

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

1,698

okay . yeah . i know you were having , you know , some problems with your right knee , uh , and we sent you for physical therapy . so , so that's going well ?

[ "Personal History" ]

[ "Subjective" ]

1,699