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
. about today . were you able to take any vacations over the summer ?	[ "Chitchat" ]	[ "Null" ]	1,800
. yeah , no , uh , your , uh , neck surgery .all right . well let's , uh , examine you here for a second .so it's your , uh , this elbow right here ?	[ "Personal History", "Physical Examination" ]	[ "Subjective", "Objective" ]	1,801
mm-hmm kinda feels like it takes a little longer to	[ "Acute Symptoms" ]	[ "Subjective" ]	1,802
doctor: alright awesome	[ "Chitchat" ]	[ "Null" ]	1,803
all right . but i think to help get rid of it sooner rather than later , if insurance will cover the elidel , pick it up and start using it .	[ "Discussion", "Medication" ]	[ "Plan" ]	1,804
okay , and , and i know that you had had that , that , uh , bite there . have you noticed any other rash anywhere else ?	[ "Acute Symptoms" ]	[ "Subjective" ]	1,805
okay . now , let's do my review of systems . you're not having any headaches or dizziness ?	[ "Acute Symptoms", "Vegetative History" ]	[ "Subjective" ]	1,806
you feel kinda down what's your	[ "Personal History" ]	[ "Subjective" ]	1,807
and again , once you finish your dose of vitamin d , for the vitamin d deficiency , you're gon na start with the 2000iu daily , so that you're able to maintain those levels . sound good ?	[ "Medication" ]	[ "Plan" ]	1,808
okay . all right . and no issues with your depression ? you do n't want to hurt yourself or anyone else ?	[ "Personal History" ]	[ "Subjective" ]	1,809
okay so some pain to palpation right around the l5 can i have that	[ "Physical Examination" ]	[ "Objective" ]	1,810
doctor: you're welcome . hey , dragon , go ahead and finalize the recording , and , uh , come with me . we'll get you checked out .	[ "Chitchat" ]	[ "Null" ]	1,811
yard work	[ "Chitchat" ]	[ "Null" ]	1,812
what did you do ?	[ "Acute Symptoms" ]	[ "Subjective" ]	1,813
okay , got it , for the legs . and do you feel short of breath at all ?	[ "Vegetative History" ]	[ "Subjective" ]	1,814
okay that's not	[ "Personal History" ]	[ "Subjective" ]	1,815
okay . all right . and no burning when you urinate or anything like that ?	[ "Acute Symptoms", "Vegetative History" ]	[ "Subjective" ]	1,816
okay . and here are the risks associated with getting the inje- injection . um , please just take a moment to review it and consent to the shot .	[ "Discussion", "Medication" ]	[ "Plan" ]	1,817
and since he's about half her size , we'll do half the dose , which is a half a teaspoon .	[ "Discussion", "Medication" ]	[ "Plan" ]	1,818
to about eight centimeters . on your heart exam , i do appreciate a three out of six systolic ejection murmur , which we've heard in the past . and , on your lung exam , i do appreciate some fine crackles at the bases bilaterally , and your lower extremities have , you know , 1+ pitting edema . so , what does all that mean ? that means i think you're retaining a little bit of fluid .	[ "Physical Examination" ]	[ "Objective" ]	1,819
okay , so this was march of this year , so maybe about three months ago ?	[ "Personal History" ]	[ "Subjective" ]	1,820
okay we'll just go ahead and get an x-ray of that right shoulder too just to be sure if you because who knows maybe you might have done something with that as well so we'll go ahead and have my nurse take you to do that and then we'll talk again alright	[ "Diagnostic Testing" ]	[ "Plan" ]	1,821
that's alright let's see how it turns out okay so how about if you if i push down on both your feet like this can you push back up on my hands	[ "Physical Examination" ]	[ "Objective" ]	1,822
hey , dragon , show me the vital signs . so , here in the office , you know , your vital signs look great . they look completely normal , which , which is really good .	[ "Physical Examination" ]	[ "Objective" ]	1,823
okay , and is there a position that you feel better in ?	[ "Acute Symptoms" ]	[ "Subjective" ]	1,824
next patient is emily hernandez . date of birth , march 26 2001 . this is a 20 year old female being seen today for our yearly follow-up for asthma , allergic rhinitis and food allergy . due to insurance changes since our last office appointment in april 2020 , she was switched from symbicort to wixela . she also uses zyrtec in the spring , summer and fall for her seasonal allergy symptoms , which tend to work well . she also has known peanut allergy , she does tolerate almonds and cashews . please put in the asthma section at the very bottom that the act score is 21 . please put under interval history , written consent is obtained today to use dax for documentation . hi emily , how are you ?	[ "Personal History", "Greetings", "Therapeutic History" ]	[ "Subjective" ]	1,825
all right . so , to start , i'm gon na have you do something for me . uh , just go ahead and tilt your chin as far as you can down to your chest . okay , good . and now , go the other way , tilting your chin up as far as you can . now , does that seem to bother you at all ? okay . and now , come back to normal , just look and turn your head as far as you can that way . great . and now , as far as you can towards that wall . uh , does that seem to bother you at all ?	[ "Physical Examination" ]	[ "Objective" ]	1,826
yeah . yeah , i was reading all the things associated with the syndrome . it sounds like we're looking for continual- congenital anomalies wi- of the kidney and urinary tract . which is basically something is wrong with the plumbing .	[ "Acute Assessment" ]	[ "Assessment" ]	1,827
hey , dragon , show me the vital signs . good , here in the office , everything looks great with your vital signs . i think that's great , so i'm just gon na take a listen to your heart and your lungs , and take a look at your elbow and , and we'll go from there , okay ?	[ "Physical Examination" ]	[ "Objective" ]	1,828
all right . let me see here . okay . so where is it hurting ? in your joints right here ?	[ "Physical Examination" ]	[ "Objective" ]	1,829
all right , deep breath . all right , again .	[ "Physical Examination" ]	[ "Objective" ]	1,830
alright	[ "Acute Symptoms" ]	[ "Subjective" ]	1,831
crestor , how long have you been taking that ?	[ "Discussion", "Medication", "Therapeutic History" ]	[ "Subjective", "Plan" ]	1,832
okay and then what have you been doing for that left ankle since then have you done anything to help make it make the pain less	[ "Therapeutic History" ]	[ "Subjective" ]	1,833
but in general , doxycycline is such a low risk . we're not gon na have you on this forever . but especially since we're adding the tacrolimus , i expect it will clear quickly .	[ "Discussion", "Medication" ]	[ "Plan" ]	1,834
okay so do you think you might have slept on it wrong or anything like that or what	[ "Acute Symptoms" ]	[ "Subjective" ]	1,835
okay alright on a scale of one to ten what ten is your arm is being cut off by a chainsaw severe how bad is your pain	[ "Acute Symptoms" ]	[ "Subjective" ]	1,836
okay , so rebecca is a 27-year-old female patient . um , you have a history of carpal tunnel , um , uh , release done couple of years ago , you have some chronic back pain , some depression . why am i seeing you today ?	[ "Acute Symptoms", "Personal History" ]	[ "Subjective" ]	1,837
right so we'll have to you know really work on that now tell me a little bit about are you watching the potassium and stuff in your diet	[ "Personal History" ]	[ "Subjective" ]	1,838
and have you had kidney stones before	[ "Personal History" ]	[ "Subjective" ]	1,839
all right , um , and , um , in terms of your anxiety , i'm sure that this did n't help much-	[ "Acute Symptoms", "Personal History" ]	[ "Subjective" ]	1,840
mm-hmm .	[ "Acute Symptoms" ]	[ "Subjective" ]	1,841
well , i think since it's been about four months since your blood work was done , we should check your liver enzymes in addition to a few other labs .	[ "Discussion", "Diagnostic Testing" ]	[ "Plan" ]	1,842
alright so i'll prescribe that i'm also gon na prescribe some physical therapy i know you said you have n't been overly active and your partner reported the same thing for a long time so we might wan na get you into some pt and hopefully get you back back in shape get you some stretches that you can do and some exercises and then you know if it's not improving i want you to send me a message and we can possibly look into see if there is anything else going on potentially an mri if it's still not improving does that sound like an okay plan	[ "Discussion", "Medication", "Referral" ]	[ "Plan" ]	1,843
okay . all right . are you interested in resuming the medication , or would you like to try a different one ?	[ "Discussion", "Medication" ]	[ "Plan" ]	1,844
all right . and have you tried anything for it ? i mean ...	[ "Acute Symptoms", "Therapeutic History" ]	[ "Subjective" ]	1,845
no problem so i do wan na let you know that there are some risks associated with any kind of surgical procedure i'm gon na bring you some paperwork and that my ma is gon na go over with you such as like risks of bleeding loss of sensation nerve damage all those things will be discussed with you and if you have any questions leading up to and even after your procedure go ahead and ask them and we'll be more than happy to help with that okay	[ "Discussion", "Other Treatments" ]	[ "Plan" ]	1,846
yeah , um , possibly . he would have to evaluate you , but it is certainly something to discuss with him . so i will send over the results of the echocardiogram and also my recommendations and then you guys can talk about the statin .	[ "Discussion" ]	[ "Plan" ]	1,847
okay well very good i'm glad you're doing that good for you russell and and then please keep that up now tell me are you watching your salt intake and trying to change your diet	[ "Personal History" ]	[ "Subjective" ]	1,848
and when did this happen ?	[ "Acute Symptoms" ]	[ "Subjective" ]	1,849
and have you been able to to walk at all at all or no	[ "Acute Symptoms" ]	[ "Subjective" ]	1,850
okay . so you felt like , maybe like a spasm or something like that ?	[ "Acute Symptoms" ]	[ "Subjective" ]	1,851
okay , but you did buy the cuff like we talked about in the past ?	[ "Personal History" ]	[ "Subjective" ]	1,852
hi andrea , how are you ?	[ "Greetings" ]	[ "Subjective" ]	1,853
cool room have you been doing that	[ "Vegetative History" ]	[ "Subjective" ]	1,854
okay the most recent crash when was that	[ "Personal History" ]	[ "Subjective" ]	1,855
it's a good one i like that too i am also a pino navar fan so there you go alright well let's now do you feel sick to your stomach at all	[ "Vegetative History" ]	[ "Subjective" ]	1,856
great . now before surgery we'll have to get you off your clopidogrel for a week beforehand .	[ "Discussion", "Medication" ]	[ "Plan" ]	1,857
so i ... my assessment for your first problem , your back pain . i think you have a lumbar strain . i do n't think that anything else is going on , but i wan na go ahead and order an mri-	[ "Diagnostic Testing", "Acute Assessment" ]	[ "Assessment", "Plan" ]	1,858
and i'm going to try to strain your arms and try to keep them as stiff as you can . do n't let me strain it . okay , good . good . now , when i , i'm just touching your hands like this . does it seem to feel about the same in both hands ?	[ "Physical Examination" ]	[ "Objective" ]	1,859
okay when was the last time you were on antibiotics	[ "Therapeutic History" ]	[ "Subjective" ]	1,860
okay . miralax is sufficient .	[ "Therapeutic History" ]	[ "Subjective" ]	1,861
okay do you experience like any loss of control of your bladder or your bowels	[ "Vegetative History" ]	[ "Subjective" ]	1,862
alright julia so you've been coming to see me for a while now ever since you had an rca stent placed back in twenty eighteen but i see you're here for follow-up after an interior stemi where we had to put in another stent right so like how are you doing	[ "Personal History", "Greetings" ]	[ "Subjective" ]	1,863
anything else	[ "Discussion" ]	[ "Plan" ]	1,864
gotcha okay now tell me are you able to bend or straighten your leg ever since then	[ "Acute Symptoms" ]	[ "Subjective" ]	1,865
okay alright okay alright well let's go ahead and do a quick physical exam okay so i looked here at your vital signs and have you had any fever chills or anything like that since this happened	[ "Vegetative History" ]	[ "Subjective" ]	1,866
yeah but yeah that sounds like fun	[ "Chitchat" ]	[ "Null" ]	1,867
okay . and i know you have some depression , you've been on medication . how's that been going ?	[ "Personal History", "Therapeutic History" ]	[ "Subjective" ]	1,868
okay . all right . and when you get short of breath , are you short of breath when you're just sitting here ? do you feel short of breath when you're walking ?	[ "Acute Symptoms" ]	[ "Subjective" ]	1,869
alright	[ "Chitchat" ]	[ "Null" ]	1,870
okay , did they put you on medication ?	[ "Acute Symptoms", "Therapeutic History" ]	[ "Subjective" ]	1,871
and no history of thyroid issues , correct ?	[ "Personal History" ]	[ "Subjective" ]	1,872
okay so let's talk real quick about your pain level zero being none ten being the worst pain you've been in in your life without any medication on board can you rate your pain for me	[ "Acute Symptoms" ]	[ "Subjective" ]	1,873
okay so when you like is there a position either hurts less or hurts more like say if your arm is raised and elevated over your head does it hurt more or is it just best to keep it like down	[ "Physical Examination" ]	[ "Objective" ]	1,874
okay , well come sit over here , and if you could take of your socks and shoes , and we'll take a look at your knee . and just to let you know , i have a service now that writes my note about the visit , so you'll hear me call things out and describe what i see fully .	[ "Physical Examination" ]	[ "Objective" ]	1,875
okay . can you tell me more about it ?	[ "Acute Symptoms" ]	[ "Subjective" ]	1,876
okay so maybe you just have a little little white coat syndrome i know i have that myself and even though i'm a physician i i still do n't like to go to the doctor so i definitely understand how about your diet i know we talked a little bit about that before and you said kinda during the pandemic you fell off a little bit how you been doing that have you been lowering your salt intake	[ "Personal History", "Reassessment" ]	[ "Subjective", "Assessment" ]	1,877
and does he act like he has a sore throat or is he pulling on his ears ?	[ "Acute Symptoms", "Vegetative History" ]	[ "Subjective" ]	1,878
okay and do you have like a regular exercise regimen at all	[ "Other Socials" ]	[ "Subjective" ]	1,879
examination of the cervical spine , any pain here now ?	[ "Physical Examination" ]	[ "Objective" ]	1,880
awesome okay yeah you know because like fall is setting in like are you excited	[ "Chitchat" ]	[ "Null" ]	1,881
does that give you any relief	[ "Therapeutic History" ]	[ "Subjective" ]	1,882
i'm good . so i know the nurse told you about dax . i'd like to dax a little bit about you , okay ?	[ "Chitchat" ]	[ "Null" ]	1,883
all right . i do too . all right , well any questions or anything else we can discuss today ?	[ "Chitchat" ]	[ "Null" ]	1,884
okay . good , okay . well , let's see ... let's take a look at you , and then , we'll get some samples for std testing . okay ?	[ "Physical Examination" ]	[ "Objective" ]	1,885
doctor: hey dragon , finalize the report .	[ "Chitchat" ]	[ "Null" ]	1,886
all right , new patient , jordan roberts . date of birth : 3/2/1972 . he's a 49 year old , uh hm , with hypertension and palpitations . please copy forward his thyroid profile from march 1st , 2021 . hello mr. roberts , how are you doing today ?	[ "Acute Symptoms", "Personal History", "Greetings" ]	[ "Subjective" ]	1,887
okay okay yeah that would be great to see that because i wan na see what's going on so thank you for that tell me is there any family history of seizures or like tourette's syndrome	[ "Family History" ]	[ "Subjective" ]	1,888
good good to hear alright well let's take a look at that ankle it looks like it's pretty swollen so let me just do a quick exam on that right now alright so looks like the outside of your ankle if i push on that does that hurt pretty bad	[ "Physical Examination" ]	[ "Objective" ]	1,889
okay what position	[ "Other Socials" ]	[ "Subjective" ]	1,890
so , i know the nurse told you about dax . i'd like to tell dax a little bit about you .	[ "Chitchat" ]	[ "Null" ]	1,891
okay and then so after the fall and the entanglement with the other player were you able to continue playing	[ "Acute Symptoms" ]	[ "Subjective" ]	1,892
okay alright well let me just do a quick physical exam okay for vital signs your temperature is ninety eight . one your vital signs look good your heart rate is seventy two respirations sixteen blood pressure is one ten over sixty five okay so on your foot exam let's see there is a one by two inch circular wound on the dorsal aspect of the lateral right foot it is just proximal to the right fifth to the fifth mtp joint and there is some yellow slough present with minimal granulation tissue there's no surrounding erythema or cellulitis and there's no evidence of fluid collection there's no necrosis there is no odor i do not appreciate any bony exposure on on vascular exam there are palpable bilateral femoral and popliteal pulses there are no palpable dp or pt pulses but doppler signs are present okay so does this hurt when i touch it here	[ "Physical Examination" ]	[ "Objective" ]	1,893
hi , joseph . how are you ?	[ "Greetings" ]	[ "Subjective" ]	1,894
doctor: all right . assessment is impingement syndrome of left shoulder . plan discussed with patient . referral is requested for dr. martha rivera to be in physical therapy two days per week .	[ "Chitchat" ]	[ "Null" ]	1,895
neither well i was going for unc i'm kinda i'm kinda upset right now but anyway so you say you're playing basketball you you heard felt some knee your knee pop what part of your knee would you say hurts	[ "Acute Symptoms" ]	[ "Subjective" ]	1,896
very good . okay . so , um , did it hurt because you hit it , or did you twist ? what happened when you ?	[ "Acute Symptoms" ]	[ "Subjective" ]	1,897
okay . okay . so i'm going to go ahead and send in a new refill for the clindamycin with 11 refills . and then the tretinoin cream with three refills . uh , that's usually about enough for a year . uh , if you run out though , just let us know . i'm happy to send more . uh , i just need to see you back once a year for your medicine . all right ? your acne printout with steps will be at your checkout sheet . and then here are your samples and coupons .	[ "Discussion", "Follow-up", "Medication" ]	[ "Plan" ]	1,898
doctor: hey , dragon . finalize the note .	[ "Chitchat" ]	[ "Null" ]	1,899

. about today . were you able to take any vacations over the summer ?

[ "Chitchat" ]

[ "Null" ]

1,800

. yeah , no , uh , your , uh , neck surgery .all right . well let's , uh , examine you here for a second .so it's your , uh , this elbow right here ?

[ "Personal History", "Physical Examination" ]

[ "Subjective", "Objective" ]

1,801

mm-hmm kinda feels like it takes a little longer to

[ "Acute Symptoms" ]

[ "Subjective" ]

1,802

doctor: alright awesome

[ "Chitchat" ]

[ "Null" ]

1,803

all right . but i think to help get rid of it sooner rather than later , if insurance will cover the elidel , pick it up and start using it .

[ "Discussion", "Medication" ]

[ "Plan" ]

1,804

okay , and , and i know that you had had that , that , uh , bite there . have you noticed any other rash anywhere else ?

[ "Acute Symptoms" ]

[ "Subjective" ]

1,805

okay . now , let's do my review of systems . you're not having any headaches or dizziness ?

[ "Acute Symptoms", "Vegetative History" ]

[ "Subjective" ]

1,806

you feel kinda down what's your

[ "Personal History" ]

[ "Subjective" ]

1,807

and again , once you finish your dose of vitamin d , for the vitamin d deficiency , you're gon na start with the 2000iu daily , so that you're able to maintain those levels . sound good ?

[ "Medication" ]

[ "Plan" ]

1,808

okay . all right . and no issues with your depression ? you do n't want to hurt yourself or anyone else ?

[ "Personal History" ]

[ "Subjective" ]

1,809

okay so some pain to palpation right around the l5 can i have that

[ "Physical Examination" ]

[ "Objective" ]

1,810

doctor: you're welcome . hey , dragon , go ahead and finalize the recording , and , uh , come with me . we'll get you checked out .

[ "Chitchat" ]

[ "Null" ]

1,811

yard work

[ "Chitchat" ]

[ "Null" ]

1,812

what did you do ?

[ "Acute Symptoms" ]

[ "Subjective" ]

1,813

okay , got it , for the legs . and do you feel short of breath at all ?

[ "Vegetative History" ]

[ "Subjective" ]

1,814

okay that's not

[ "Personal History" ]

[ "Subjective" ]

1,815

okay . all right . and no burning when you urinate or anything like that ?

[ "Acute Symptoms", "Vegetative History" ]

[ "Subjective" ]

1,816

okay . and here are the risks associated with getting the inje- injection . um , please just take a moment to review it and consent to the shot .

[ "Discussion", "Medication" ]

[ "Plan" ]

1,817

and since he's about half her size , we'll do half the dose , which is a half a teaspoon .

[ "Discussion", "Medication" ]

[ "Plan" ]

1,818

to about eight centimeters . on your heart exam , i do appreciate a three out of six systolic ejection murmur , which we've heard in the past . and , on your lung exam , i do appreciate some fine crackles at the bases bilaterally , and your lower extremities have , you know , 1+ pitting edema . so , what does all that mean ? that means i think you're retaining a little bit of fluid .

[ "Physical Examination" ]

[ "Objective" ]

1,819

okay , so this was march of this year , so maybe about three months ago ?

[ "Personal History" ]

[ "Subjective" ]

1,820

okay we'll just go ahead and get an x-ray of that right shoulder too just to be sure if you because who knows maybe you might have done something with that as well so we'll go ahead and have my nurse take you to do that and then we'll talk again alright

[ "Diagnostic Testing" ]

[ "Plan" ]

1,821

that's alright let's see how it turns out okay so how about if you if i push down on both your feet like this can you push back up on my hands

[ "Physical Examination" ]

[ "Objective" ]

1,822

hey , dragon , show me the vital signs . so , here in the office , you know , your vital signs look great . they look completely normal , which , which is really good .

[ "Physical Examination" ]

[ "Objective" ]

1,823

okay , and is there a position that you feel better in ?

[ "Acute Symptoms" ]

[ "Subjective" ]

1,824

next patient is emily hernandez . date of birth , march 26 2001 . this is a 20 year old female being seen today for our yearly follow-up for asthma , allergic rhinitis and food allergy . due to insurance changes since our last office appointment in april 2020 , she was switched from symbicort to wixela . she also uses zyrtec in the spring , summer and fall for her seasonal allergy symptoms , which tend to work well . she also has known peanut allergy , she does tolerate almonds and cashews . please put in the asthma section at the very bottom that the act score is 21 . please put under interval history , written consent is obtained today to use dax for documentation . hi emily , how are you ?

[ "Personal History", "Greetings", "Therapeutic History" ]

[ "Subjective" ]

1,825

all right . so , to start , i'm gon na have you do something for me . uh , just go ahead and tilt your chin as far as you can down to your chest . okay , good . and now , go the other way , tilting your chin up as far as you can . now , does that seem to bother you at all ? okay . and now , come back to normal , just look and turn your head as far as you can that way . great . and now , as far as you can towards that wall . uh , does that seem to bother you at all ?

[ "Physical Examination" ]

[ "Objective" ]

1,826

yeah . yeah , i was reading all the things associated with the syndrome . it sounds like we're looking for continual- congenital anomalies wi- of the kidney and urinary tract . which is basically something is wrong with the plumbing .

[ "Acute Assessment" ]

[ "Assessment" ]

1,827

hey , dragon , show me the vital signs . good , here in the office , everything looks great with your vital signs . i think that's great , so i'm just gon na take a listen to your heart and your lungs , and take a look at your elbow and , and we'll go from there , okay ?

[ "Physical Examination" ]

[ "Objective" ]

1,828

all right . let me see here . okay . so where is it hurting ? in your joints right here ?

[ "Physical Examination" ]

[ "Objective" ]

1,829

all right , deep breath . all right , again .

[ "Physical Examination" ]

[ "Objective" ]

1,830

alright

[ "Acute Symptoms" ]

[ "Subjective" ]

1,831

crestor , how long have you been taking that ?

[ "Discussion", "Medication", "Therapeutic History" ]

[ "Subjective", "Plan" ]

1,832

okay and then what have you been doing for that left ankle since then have you done anything to help make it make the pain less

[ "Therapeutic History" ]

[ "Subjective" ]

1,833

but in general , doxycycline is such a low risk . we're not gon na have you on this forever . but especially since we're adding the tacrolimus , i expect it will clear quickly .

[ "Discussion", "Medication" ]

[ "Plan" ]

1,834

okay so do you think you might have slept on it wrong or anything like that or what

[ "Acute Symptoms" ]

[ "Subjective" ]

1,835

okay alright on a scale of one to ten what ten is your arm is being cut off by a chainsaw severe how bad is your pain

[ "Acute Symptoms" ]

[ "Subjective" ]

1,836

okay , so rebecca is a 27-year-old female patient . um , you have a history of carpal tunnel , um , uh , release done couple of years ago , you have some chronic back pain , some depression . why am i seeing you today ?

[ "Acute Symptoms", "Personal History" ]

[ "Subjective" ]

1,837

right so we'll have to you know really work on that now tell me a little bit about are you watching the potassium and stuff in your diet

[ "Personal History" ]

[ "Subjective" ]

1,838

and have you had kidney stones before

[ "Personal History" ]

[ "Subjective" ]

1,839

all right , um , and , um , in terms of your anxiety , i'm sure that this did n't help much-

[ "Acute Symptoms", "Personal History" ]

[ "Subjective" ]

1,840

mm-hmm .

[ "Acute Symptoms" ]

[ "Subjective" ]

1,841

well , i think since it's been about four months since your blood work was done , we should check your liver enzymes in addition to a few other labs .

[ "Discussion", "Diagnostic Testing" ]

[ "Plan" ]

1,842

alright so i'll prescribe that i'm also gon na prescribe some physical therapy i know you said you have n't been overly active and your partner reported the same thing for a long time so we might wan na get you into some pt and hopefully get you back back in shape get you some stretches that you can do and some exercises and then you know if it's not improving i want you to send me a message and we can possibly look into see if there is anything else going on potentially an mri if it's still not improving does that sound like an okay plan

[ "Discussion", "Medication", "Referral" ]

[ "Plan" ]

1,843

okay . all right . are you interested in resuming the medication , or would you like to try a different one ?

[ "Discussion", "Medication" ]

[ "Plan" ]

1,844

all right . and have you tried anything for it ? i mean ...

[ "Acute Symptoms", "Therapeutic History" ]

[ "Subjective" ]

1,845

no problem so i do wan na let you know that there are some risks associated with any kind of surgical procedure i'm gon na bring you some paperwork and that my ma is gon na go over with you such as like risks of bleeding loss of sensation nerve damage all those things will be discussed with you and if you have any questions leading up to and even after your procedure go ahead and ask them and we'll be more than happy to help with that okay

[ "Discussion", "Other Treatments" ]

[ "Plan" ]

1,846

yeah , um , possibly . he would have to evaluate you , but it is certainly something to discuss with him . so i will send over the results of the echocardiogram and also my recommendations and then you guys can talk about the statin .

[ "Discussion" ]

[ "Plan" ]

1,847

okay well very good i'm glad you're doing that good for you russell and and then please keep that up now tell me are you watching your salt intake and trying to change your diet

[ "Personal History" ]

[ "Subjective" ]

1,848

and when did this happen ?

[ "Acute Symptoms" ]

[ "Subjective" ]

1,849

and have you been able to to walk at all at all or no

[ "Acute Symptoms" ]

[ "Subjective" ]

1,850

okay . so you felt like , maybe like a spasm or something like that ?

[ "Acute Symptoms" ]

[ "Subjective" ]

1,851

okay , but you did buy the cuff like we talked about in the past ?

[ "Personal History" ]

[ "Subjective" ]

1,852

hi andrea , how are you ?

[ "Greetings" ]

[ "Subjective" ]

1,853

cool room have you been doing that

[ "Vegetative History" ]

[ "Subjective" ]

1,854

okay the most recent crash when was that

[ "Personal History" ]

[ "Subjective" ]

1,855

it's a good one i like that too i am also a pino navar fan so there you go alright well let's now do you feel sick to your stomach at all

[ "Vegetative History" ]

[ "Subjective" ]

1,856

great . now before surgery we'll have to get you off your clopidogrel for a week beforehand .

[ "Discussion", "Medication" ]

[ "Plan" ]

1,857

so i ... my assessment for your first problem , your back pain . i think you have a lumbar strain . i do n't think that anything else is going on , but i wan na go ahead and order an mri-

[ "Diagnostic Testing", "Acute Assessment" ]

[ "Assessment", "Plan" ]

1,858

and i'm going to try to strain your arms and try to keep them as stiff as you can . do n't let me strain it . okay , good . good . now , when i , i'm just touching your hands like this . does it seem to feel about the same in both hands ?

[ "Physical Examination" ]

[ "Objective" ]

1,859

okay when was the last time you were on antibiotics

[ "Therapeutic History" ]

[ "Subjective" ]

1,860

okay . miralax is sufficient .

[ "Therapeutic History" ]

[ "Subjective" ]

1,861

okay do you experience like any loss of control of your bladder or your bowels

[ "Vegetative History" ]

[ "Subjective" ]

1,862

alright julia so you've been coming to see me for a while now ever since you had an rca stent placed back in twenty eighteen but i see you're here for follow-up after an interior stemi where we had to put in another stent right so like how are you doing

[ "Personal History", "Greetings" ]

[ "Subjective" ]

1,863

anything else

[ "Discussion" ]

[ "Plan" ]

1,864

gotcha okay now tell me are you able to bend or straighten your leg ever since then

[ "Acute Symptoms" ]

[ "Subjective" ]

1,865

okay alright okay alright well let's go ahead and do a quick physical exam okay so i looked here at your vital signs and have you had any fever chills or anything like that since this happened

[ "Vegetative History" ]

[ "Subjective" ]

1,866

yeah but yeah that sounds like fun

[ "Chitchat" ]

[ "Null" ]

1,867

okay . and i know you have some depression , you've been on medication . how's that been going ?

[ "Personal History", "Therapeutic History" ]

[ "Subjective" ]

1,868

okay . all right . and when you get short of breath , are you short of breath when you're just sitting here ? do you feel short of breath when you're walking ?

[ "Acute Symptoms" ]

[ "Subjective" ]

1,869

alright

[ "Chitchat" ]

[ "Null" ]

1,870

okay , did they put you on medication ?

[ "Acute Symptoms", "Therapeutic History" ]

[ "Subjective" ]

1,871

and no history of thyroid issues , correct ?

[ "Personal History" ]

[ "Subjective" ]

1,872

okay so let's talk real quick about your pain level zero being none ten being the worst pain you've been in in your life without any medication on board can you rate your pain for me

[ "Acute Symptoms" ]

[ "Subjective" ]

1,873

okay so when you like is there a position either hurts less or hurts more like say if your arm is raised and elevated over your head does it hurt more or is it just best to keep it like down

[ "Physical Examination" ]

[ "Objective" ]

1,874

okay , well come sit over here , and if you could take of your socks and shoes , and we'll take a look at your knee . and just to let you know , i have a service now that writes my note about the visit , so you'll hear me call things out and describe what i see fully .

[ "Physical Examination" ]

[ "Objective" ]

1,875

okay . can you tell me more about it ?

[ "Acute Symptoms" ]

[ "Subjective" ]

1,876

okay so maybe you just have a little little white coat syndrome i know i have that myself and even though i'm a physician i i still do n't like to go to the doctor so i definitely understand how about your diet i know we talked a little bit about that before and you said kinda during the pandemic you fell off a little bit how you been doing that have you been lowering your salt intake

[ "Personal History", "Reassessment" ]

[ "Subjective", "Assessment" ]

1,877

and does he act like he has a sore throat or is he pulling on his ears ?

[ "Acute Symptoms", "Vegetative History" ]

[ "Subjective" ]

1,878

okay and do you have like a regular exercise regimen at all

[ "Other Socials" ]

[ "Subjective" ]

1,879

examination of the cervical spine , any pain here now ?

[ "Physical Examination" ]

[ "Objective" ]

1,880

awesome okay yeah you know because like fall is setting in like are you excited

[ "Chitchat" ]

[ "Null" ]

1,881

does that give you any relief

[ "Therapeutic History" ]

[ "Subjective" ]

1,882

i'm good . so i know the nurse told you about dax . i'd like to dax a little bit about you , okay ?

[ "Chitchat" ]

[ "Null" ]

1,883

all right . i do too . all right , well any questions or anything else we can discuss today ?

[ "Chitchat" ]

[ "Null" ]

1,884

okay . good , okay . well , let's see ... let's take a look at you , and then , we'll get some samples for std testing . okay ?

[ "Physical Examination" ]

[ "Objective" ]

1,885

doctor: hey dragon , finalize the report .

[ "Chitchat" ]

[ "Null" ]

1,886

all right , new patient , jordan roberts . date of birth : 3/2/1972 . he's a 49 year old , uh hm , with hypertension and palpitations . please copy forward his thyroid profile from march 1st , 2021 . hello mr. roberts , how are you doing today ?

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

[ "Subjective" ]

1,887

okay okay yeah that would be great to see that because i wan na see what's going on so thank you for that tell me is there any family history of seizures or like tourette's syndrome

[ "Family History" ]

[ "Subjective" ]

1,888

good good to hear alright well let's take a look at that ankle it looks like it's pretty swollen so let me just do a quick exam on that right now alright so looks like the outside of your ankle if i push on that does that hurt pretty bad

[ "Physical Examination" ]

[ "Objective" ]

1,889

okay what position

[ "Other Socials" ]

[ "Subjective" ]

1,890

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

[ "Chitchat" ]

[ "Null" ]

1,891

okay and then so after the fall and the entanglement with the other player were you able to continue playing

[ "Acute Symptoms" ]

[ "Subjective" ]

1,892

okay alright well let me just do a quick physical exam okay for vital signs your temperature is ninety eight . one your vital signs look good your heart rate is seventy two respirations sixteen blood pressure is one ten over sixty five okay so on your foot exam let's see there is a one by two inch circular wound on the dorsal aspect of the lateral right foot it is just proximal to the right fifth to the fifth mtp joint and there is some yellow slough present with minimal granulation tissue there's no surrounding erythema or cellulitis and there's no evidence of fluid collection there's no necrosis there is no odor i do not appreciate any bony exposure on on vascular exam there are palpable bilateral femoral and popliteal pulses there are no palpable dp or pt pulses but doppler signs are present okay so does this hurt when i touch it here

[ "Physical Examination" ]

[ "Objective" ]

1,893

hi , joseph . how are you ?

[ "Greetings" ]

[ "Subjective" ]

1,894

doctor: all right . assessment is impingement syndrome of left shoulder . plan discussed with patient . referral is requested for dr. martha rivera to be in physical therapy two days per week .

[ "Chitchat" ]

[ "Null" ]

1,895

neither well i was going for unc i'm kinda i'm kinda upset right now but anyway so you say you're playing basketball you you heard felt some knee your knee pop what part of your knee would you say hurts

[ "Acute Symptoms" ]

[ "Subjective" ]

1,896

very good . okay . so , um , did it hurt because you hit it , or did you twist ? what happened when you ?

[ "Acute Symptoms" ]

[ "Subjective" ]

1,897

okay . okay . so i'm going to go ahead and send in a new refill for the clindamycin with 11 refills . and then the tretinoin cream with three refills . uh , that's usually about enough for a year . uh , if you run out though , just let us know . i'm happy to send more . uh , i just need to see you back once a year for your medicine . all right ? your acne printout with steps will be at your checkout sheet . and then here are your samples and coupons .

[ "Discussion", "Follow-up", "Medication" ]

[ "Plan" ]

1,898

doctor: hey , dragon . finalize the note .

[ "Chitchat" ]

[ "Null" ]

1,899