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
we'll try and see if it works better if your ibuprofen works better though go ahead and just go back to that but we can try this other prescription first	[ "Discussion", "Medication" ]	[ "Plan" ]	2,000
okay now i really need you to be truthful when you answer these next questions this is important for taking a good history do you smoke any type of cigarette or tobacco product and have you ever smoked or do you smoke marijuana on a regular basis	[ "Drug History" ]	[ "Subjective" ]	2,001
good . so mainly it sounds like you came in , um , mostly because of the murmur . is that right ? and sort of just kind of seeing what things look like ?	[ "Acute Symptoms" ]	[ "Subjective" ]	2,002
nice nice you know i i did hear i do n't know much about hunting but i did hear a hunting software joke the other day do you want to hear it	[ "Chitchat" ]	[ "Null" ]	2,003
yeah so if you do n't feel that you did anything to injure it we might start just maybe do some epsom salts have you tried soaking your feet in epsom salts that will tend to kinda pull out what's going on in there and just help your those muscles to relax and the soreness to to go away you might try that	[ "Discussion", "Medication" ]	[ "Plan" ]	2,004
it's good to see you as well . are you ready to get started ?	[ "Chitchat" ]	[ "Null" ]	2,005
. and go into the emergency room . you might need some intravenous diuretics .	[ "Discussion" ]	[ "Plan" ]	2,006
i do n't think it's very common .	[ "Chitchat" ]	[ "Null" ]	2,007
okay alright yeah that that that definitely makes sense so how would you describe the pain is it like a dull pain is it stabbing what what would you say	[ "Acute Symptoms" ]	[ "Subjective" ]	2,008
it's been pretty good . and you're still taking the lisinopril , no problems with that ?	[ "Therapeutic History" ]	[ "Subjective" ]	2,009
okay okay and then do you have a personal history of smoking	[ "Drug History" ]	[ "Subjective" ]	2,010
okay , and how's she doing ?	[ "Family History" ]	[ "Subjective" ]	2,011
have you ever had any issues with allergies in the past	[ "Personal History" ]	[ "Subjective" ]	2,012
just epipen for anaphylaxis when you need it . um , and what surgeries have you had before ?	[ "Personal History" ]	[ "Subjective" ]	2,013
i have a dog that eyes water like that she always gets eyebugers	[ "Chitchat" ]	[ "Null" ]	2,014
no broken bones recently ?	[ "Personal History" ]	[ "Subjective" ]	2,015
great . so , i have that you were found to have a calcification in your right breast during a mammogram in october 2019 . was that just a normal screening mammogram , or was it done because you felt a lump ?	[ "Personal History" ]	[ "Subjective" ]	2,016
doctor: okay no problem	[ "Chitchat" ]	[ "Null" ]	2,017
sophia brown . date of birth , 3/17/1946 . this is a new patient visit . she's here to establish care for a history of dcis . we'll go over the history with the patient . hello , ms. brown .	[ "Personal History", "Greetings" ]	[ "Subjective" ]	2,018
do you have any questions any other questions for me	[ "Discussion" ]	[ "Plan" ]	2,019
okay . and how long ago did this happen ?	[ "Acute Symptoms" ]	[ "Subjective" ]	2,020
hi wayne how're you today	[ "Greetings" ]	[ "Subjective" ]	2,021
okay . and do you have any medical problems ?	[ "Acute Symptoms" ]	[ "Subjective" ]	2,022
alright and and did that help	[ "Acute Symptoms", "Therapeutic History" ]	[ "Subjective" ]	2,023
okay okay so you probably have n't been out golfing i remember you're a big golfer so not not lately uh so you know being	[ "Other Socials" ]	[ "Subjective" ]	2,024
okay . all right . um , but , ha- ha- have you ... let's just talk about your review of systems . have you had any dizziness , lightheadedness , fever , chills ?	[ "Acute Symptoms" ]	[ "Subjective" ]	2,025
you know honestly there are a few other factors weight gain does n't necessarily help you're right but like smoking has like a stronger impact so but it's okay we can explore like you know other options here i as i listen to your heart you have a regular rate and rhythm i do n't appreciate any murmur on so i'm gon na go ahead and do a back exam i do n't notice any overlying erythema or ecchymosis on your skin so no redness or bruising when i push here on your spine does that hurt okay okay so there is midline tenderness on the l4 l5 disk space with right sided lumbar paravertebral tenderness when you bend forward does it hurt	[ "Physical Examination", "Drug History" ]	[ "Objective" ]	2,026
okay okay alright and how are you doing as far as like just emotionally and mentally how are you doing i'm just talking a little bit about your support systems	[ "Other Socials" ]	[ "Subjective" ]	2,027
yeah well yeah who does n't well okay well hopefully we will get you you know squared away here so you can you know play your soccer and go shopping for dresses with dad so so dad tell me does the karen seem bothered or any other and have any other issues when this happens	[ "Acute Symptoms" ]	[ "Subjective" ]	2,028
and we'll get you checked out .	[ "Chitchat" ]	[ "Null" ]	2,029
let's look at some of your results , okay ?	[ "Lab Examination" ]	[ "Objective" ]	2,030
okay alright have you had any shortness of breath	[ "Vegetative History" ]	[ "Subjective" ]	2,031
have you taken any medicine for it ?	[ "Acute Symptoms", "Therapeutic History" ]	[ "Subjective" ]	2,032
okay , that's good .	[ "Acute Symptoms" ]	[ "Subjective" ]	2,033
yeah i think i have time in my schedule to get it done today just you know i'm here for you right now	[ "Discussion" ]	[ "Plan" ]	2,034
well the first line would be to try some medications usually we start with medications that are called gabapentin or tegretol these are medications that really help reduce the excitability of the nerve	[ "Medication" ]	[ "Plan" ]	2,035
doctor: all right . finalize report , dragon .	[ "Chitchat" ]	[ "Null" ]	2,036
very interesting . let me check it out . um , so does it hurt when i push right here ?	[ "Acute Symptoms", "Physical Examination" ]	[ "Subjective", "Objective" ]	2,037
yeah , and had you been drinking for a while ?	[ "Vegetative History" ]	[ "Subjective" ]	2,038
doctor: take care .	[ "Chitchat" ]	[ "Null" ]	2,039
and i can order that for today . um , do you have time to complete that ? it should n't take too long .	[ "Discussion", "Diagnostic Testing" ]	[ "Plan" ]	2,040
all right . hey , dragon , show me the ekg . and the nurses did an ekg before you came in , and that looks perfectly fine , okay ? so i wan na just go ahead and talk a little about your assessment and my plan for you . so for your first problem , your depression , i think you're doing a really good job with your strategies . i do n't think ... it does n't sound to me like i need to start you on any medication at this time , unless you feel differently .	[ "Discussion", "Radiology Examination", "Reassessment" ]	[ "Objective", "Assessment", "Plan" ]	2,041
okay so exquisite tenderness tenderness laterally and then if i push here does that hurt too	[ "Physical Examination" ]	[ "Objective" ]	2,042
okay . um , uh , again , i want you to call me if you have any problems with your breathing , okay ?	[ "Discussion", "Follow-up" ]	[ "Plan" ]	2,043
okay . all right . for your third problem , your type two diabetes , i want to go ahead and increase your metformin to 1000 milligrams , twice daily .	[ "Medication", "Reassessment" ]	[ "Assessment", "Plan" ]	2,044
alright	[ "Chitchat" ]	[ "Null" ]	2,045
okay is n't that slightly terrifying they had to do the same thing for me and you're just kind of sitting there watching all of the trees go by so anyway so what part of your knee is bothering you the most is it the inside the outside	[ "Acute Symptoms" ]	[ "Subjective" ]	2,046
yes , the 200mgs daily . how's that working for you ?	[ "Therapeutic History" ]	[ "Subjective" ]	2,047
all right-y . okay . well , that was a really good review . so , ashley , before all of this , would you say that , all in all , you were a pretty healthy child ?	[ "Personal History" ]	[ "Subjective" ]	2,048
okay and when did you first notice the spot ?	[ "Personal History" ]	[ "Subjective" ]	2,049
okay do you use any other type of tobacco products	[ "Drug History" ]	[ "Subjective" ]	2,050
okay , and you take that twice a day ?	[ "Therapeutic History" ]	[ "Subjective" ]	2,051
okay . and , um , did , uh , do you have any numbness in your hand at all ? or any pain when you move your wrist ?	[ "Acute Symptoms" ]	[ "Subjective" ]	2,052
okay alright and so okay fair enough now how's your diabetes been been been doing lately have you what have your blood sugars been running in the low one hundreds or two hundreds or what	[ "Personal History" ]	[ "Subjective" ]	2,053
okay and so you were like moving what what were you moving exactly when you say lifting	[ "Acute Symptoms" ]	[ "Subjective" ]	2,054
doctor: hey , dragon ? finalize the note .	[ "Chitchat" ]	[ "Null" ]	2,055
how is that going for you is it still happening	[ "Vegetative History" ]	[ "Subjective" ]	2,056
so i think you're a great candidate for a breast reduction . when we talk about a breast reduction , what happens is that we remove the tissue out of the breast .	[ "Discussion", "Other Treatments" ]	[ "Plan" ]	2,057
all right . well let's go ahead and take a look at your hip .	[ "Physical Examination" ]	[ "Objective" ]	2,058
okay . all right . in terms of your , your diabetes , how are you doing with that ? i know you're on the insulin pump .	[ "Personal History" ]	[ "Subjective" ]	2,059
yeah i i know i'm like apple i do n't know if you have an iphone or not but i know apple has this the the sleep mode now do that disturbance so you put that on	[ "Referral" ]	[ "Plan" ]	2,060
it could n't stop pooping yeah i mean that that might cause like anxiety or something like that you know we ca n't stop pooten he's he's he's in charge of my united states but right now i'm i'm really you know me i'm concerned about your heart so i do wan na get the ekg just to make sure you know it'll be would n't be good if we did n't get that you know in the case that you you leave here something terrible happened and and i would n't want that to happen on my watch so	[ "Discussion", "Diagnostic Testing" ]	[ "Plan" ]	2,061
okay . and now , military wise , what's the time frame of when you'll be completing some of these exertional tests ? like , what are your next steps ?	[ "Other Socials" ]	[ "Subjective" ]	2,062
okay well hi joe i understand you've hurt your knee how how are you doing	[ "Acute Symptoms", "Greetings" ]	[ "Subjective" ]	2,063
hey , dragon , i'm here seeing mrs . martinez . she's a 43-year-old female . why are we seeing you today ?	[ "Acute Symptoms" ]	[ "Subjective" ]	2,064
i read it in your chart	[ "Chitchat" ]	[ "Null" ]	2,065
good patellar patella tracks fine no crepitus alright let's go back to this medial side you're tender right there is that right	[ "Physical Examination" ]	[ "Objective" ]	2,066
. with the nurse but any nausea or vomiting or abdominal pain ?	[ "Vegetative History" ]	[ "Subjective" ]	2,067
okay alright so on a scale of one to ten how severe is the pain	[ "Acute Symptoms" ]	[ "Subjective" ]	2,068
okay and you said this happened yesterday correct	[ "Acute Symptoms" ]	[ "Subjective" ]	2,069
so that sounds stable to me . on your back exam , you know , you do have some pain to palpation of the lumbar spine . and you have pain with flexion and extension of the back . and you have a negative straight leg raise , which is which is good . so , let's- let's just look at some of your results , okay ?	[ "Physical Examination" ]	[ "Objective" ]	2,070
hey joshua good to see you today so take a look at your chart here brenda and i see that you're coming in you you have i think you have a kidney stone so can you tell me what's going on how are you feeling and you're my my patient	[ "Acute Symptoms", "Greetings" ]	[ "Subjective" ]	2,071
mm-hmm okay have you ever injured that foot before	[ "Personal History" ]	[ "Subjective" ]	2,072
all right . um , are you allergic to any medications ?	[ "Personal History" ]	[ "Subjective" ]	2,073
okay where	[ "Vegetative History" ]	[ "Subjective" ]	2,074
uh uh and does the pain like radiate anywhere	[ "Acute Symptoms" ]	[ "Subjective" ]	2,075
okay sure i'll get you a refill for norvasc we'll get that sent over to the pharmacy okay	[ "Discussion", "Medication" ]	[ "Plan" ]	2,076
okay . and how far can you walk before you feel short of breath or sort of overly fatigued ?	[ "Vegetative History" ]	[ "Subjective" ]	2,077
you were in a mountain biking lesson and you fell off your bike and twisted your ankle	[ "Acute Symptoms" ]	[ "Subjective" ]	2,078
okay what would do you know if you are doing something that would cause it to be an eleven are you back on your ski's	[ "Acute Symptoms" ]	[ "Subjective" ]	2,079
hmmm what situations do you notice the symptoms come on when is it when you're near your cat or outside the house	[ "Personal History" ]	[ "Subjective" ]	2,080
edward is a 59 year old male with a past medical history significant for depression , hypertension and prior rotator cuff repair who presents for followup of his chronic problems . so , edward , it's been a little while since i saw you .	[ "Personal History" ]	[ "Subjective" ]	2,081
your right knee and have you been able to walk since that happened that happened this morning	[ "Acute Symptoms" ]	[ "Subjective" ]	2,082
okay well i'm happy at age 67 you're out there playing tackle football so good good for you and was it your right shoulder or your left shoulder that you injured	[ "Acute Symptoms", "Chitchat" ]	[ "Subjective" ]	2,083
yeah , it may feel a little weird , but it's totally safe for you to drive .	[ "Discussion" ]	[ "Plan" ]	2,084
i know the nurse said to review a symptom sheet when you checked in .	[ "Discussion" ]	[ "Objective" ]	2,085
okay the headache has has maybe made you feel uncomfortable and prevented your your exercise would you say or what	[ "Personal History" ]	[ "Subjective" ]	2,086
alright and alright no but no fevers with this so since you're here your oxygen level looks pretty good in the clinic it's about ninety four percent on pulse your pulse oxygenation so that's good are you short of breath so when you walk or you or you exert yourself you're short of breath you said right okay and have you and how how is your blood sugar been doing since this has been going on i know you're on metformin how's your diabetes been doing	[ "Personal History", "Therapeutic History" ]	[ "Subjective" ]	2,087
okay good and going back you know to your grandparents has anybody else in the family had similar symptoms that you're aware of	[ "Family History" ]	[ "Subjective" ]	2,088
okay so when you say a lot like how frequently does it occur	[ "Personal History" ]	[ "Subjective" ]	2,089
about four months ago okay that's quite a long time and you're just seeing me now for it	[ "Acute Symptoms" ]	[ "Subjective" ]	2,090
okay . all right . and , have you had any headaches ?	[ "Acute Symptoms" ]	[ "Subjective" ]	2,091
have you been short of breath or any problems sleeping since you've been home	[ "Vegetative History" ]	[ "Subjective" ]	2,092
doctor: alright thanks	[ "Chitchat" ]	[ "Null" ]	2,093
donna torres , date of birth , 08/01/1980 . hi donna ! how are you ?	[ "Personal History", "Greetings" ]	[ "Subjective" ]	2,094
okay so we are we are gon na have to negotiate some of these diet things and then especially since you have diabetes like have you been managing that well	[ "Personal History" ]	[ "Subjective" ]	2,095
how are you doing	[ "Greetings" ]	[ "Subjective" ]	2,096
okay . um , and what have you taken for the pain ?	[ "Acute Symptoms", "Therapeutic History" ]	[ "Subjective" ]	2,097
so we often like to keep people with heart problems on magnesium and get their levels up to around the 2-ish range . yours is a little bit less than 2 and we want that 2-ish range because it can help stabilize the heart muscle . so i might recommend putting you on magnesium supplement . it's supposed to be twice a day so that's kind of annoying , but i know you're on other medicines twice a day too , so i think you'll do fine .	[ "Other Treatments" ]	[ "Plan" ]	2,098
but you've got some swelling and erythema-	[ "Acute Assessment" ]	[ "Assessment" ]	2,099

we'll try and see if it works better if your ibuprofen works better though go ahead and just go back to that but we can try this other prescription first

[ "Discussion", "Medication" ]

[ "Plan" ]

2,000

okay now i really need you to be truthful when you answer these next questions this is important for taking a good history do you smoke any type of cigarette or tobacco product and have you ever smoked or do you smoke marijuana on a regular basis

[ "Drug History" ]

[ "Subjective" ]

2,001

good . so mainly it sounds like you came in , um , mostly because of the murmur . is that right ? and sort of just kind of seeing what things look like ?

[ "Acute Symptoms" ]

[ "Subjective" ]

2,002

nice nice you know i i did hear i do n't know much about hunting but i did hear a hunting software joke the other day do you want to hear it

[ "Chitchat" ]

[ "Null" ]

2,003

yeah so if you do n't feel that you did anything to injure it we might start just maybe do some epsom salts have you tried soaking your feet in epsom salts that will tend to kinda pull out what's going on in there and just help your those muscles to relax and the soreness to to go away you might try that

[ "Discussion", "Medication" ]

[ "Plan" ]

2,004

it's good to see you as well . are you ready to get started ?

[ "Chitchat" ]

[ "Null" ]

2,005

. and go into the emergency room . you might need some intravenous diuretics .

[ "Discussion" ]

[ "Plan" ]

2,006

i do n't think it's very common .

[ "Chitchat" ]

[ "Null" ]

2,007

okay alright yeah that that that definitely makes sense so how would you describe the pain is it like a dull pain is it stabbing what what would you say

[ "Acute Symptoms" ]

[ "Subjective" ]

2,008

it's been pretty good . and you're still taking the lisinopril , no problems with that ?

[ "Therapeutic History" ]

[ "Subjective" ]

2,009

okay okay and then do you have a personal history of smoking

[ "Drug History" ]

[ "Subjective" ]

2,010

okay , and how's she doing ?

[ "Family History" ]

[ "Subjective" ]

2,011

have you ever had any issues with allergies in the past

[ "Personal History" ]

[ "Subjective" ]

2,012

just epipen for anaphylaxis when you need it . um , and what surgeries have you had before ?

[ "Personal History" ]

[ "Subjective" ]

2,013

i have a dog that eyes water like that she always gets eyebugers

[ "Chitchat" ]

[ "Null" ]

2,014

no broken bones recently ?

[ "Personal History" ]

[ "Subjective" ]

2,015

great . so , i have that you were found to have a calcification in your right breast during a mammogram in october 2019 . was that just a normal screening mammogram , or was it done because you felt a lump ?

[ "Personal History" ]

[ "Subjective" ]

2,016

doctor: okay no problem

[ "Chitchat" ]

[ "Null" ]

2,017

sophia brown . date of birth , 3/17/1946 . this is a new patient visit . she's here to establish care for a history of dcis . we'll go over the history with the patient . hello , ms. brown .

[ "Personal History", "Greetings" ]

[ "Subjective" ]

2,018

do you have any questions any other questions for me

[ "Discussion" ]

[ "Plan" ]

2,019

okay . and how long ago did this happen ?

[ "Acute Symptoms" ]

[ "Subjective" ]

2,020

hi wayne how're you today

[ "Greetings" ]

[ "Subjective" ]

2,021

okay . and do you have any medical problems ?

[ "Acute Symptoms" ]

[ "Subjective" ]

2,022

alright and and did that help

[ "Acute Symptoms", "Therapeutic History" ]

[ "Subjective" ]

2,023

okay okay so you probably have n't been out golfing i remember you're a big golfer so not not lately uh so you know being

[ "Other Socials" ]

[ "Subjective" ]

2,024

okay . all right . um , but , ha- ha- have you ... let's just talk about your review of systems . have you had any dizziness , lightheadedness , fever , chills ?

[ "Acute Symptoms" ]

[ "Subjective" ]

2,025

you know honestly there are a few other factors weight gain does n't necessarily help you're right but like smoking has like a stronger impact so but it's okay we can explore like you know other options here i as i listen to your heart you have a regular rate and rhythm i do n't appreciate any murmur on so i'm gon na go ahead and do a back exam i do n't notice any overlying erythema or ecchymosis on your skin so no redness or bruising when i push here on your spine does that hurt okay okay so there is midline tenderness on the l4 l5 disk space with right sided lumbar paravertebral tenderness when you bend forward does it hurt

[ "Physical Examination", "Drug History" ]

[ "Objective" ]

2,026

okay okay alright and how are you doing as far as like just emotionally and mentally how are you doing i'm just talking a little bit about your support systems

[ "Other Socials" ]

[ "Subjective" ]

2,027

yeah well yeah who does n't well okay well hopefully we will get you you know squared away here so you can you know play your soccer and go shopping for dresses with dad so so dad tell me does the karen seem bothered or any other and have any other issues when this happens

[ "Acute Symptoms" ]

[ "Subjective" ]

2,028

and we'll get you checked out .

[ "Chitchat" ]

[ "Null" ]

2,029

let's look at some of your results , okay ?

[ "Lab Examination" ]

[ "Objective" ]

2,030

okay alright have you had any shortness of breath

[ "Vegetative History" ]

[ "Subjective" ]

2,031

have you taken any medicine for it ?

[ "Acute Symptoms", "Therapeutic History" ]

[ "Subjective" ]

2,032

okay , that's good .

[ "Acute Symptoms" ]

[ "Subjective" ]

2,033

yeah i think i have time in my schedule to get it done today just you know i'm here for you right now

[ "Discussion" ]

[ "Plan" ]

2,034

well the first line would be to try some medications usually we start with medications that are called gabapentin or tegretol these are medications that really help reduce the excitability of the nerve

[ "Medication" ]

[ "Plan" ]

2,035

doctor: all right . finalize report , dragon .

[ "Chitchat" ]

[ "Null" ]

2,036

very interesting . let me check it out . um , so does it hurt when i push right here ?

[ "Acute Symptoms", "Physical Examination" ]

[ "Subjective", "Objective" ]

2,037

yeah , and had you been drinking for a while ?

[ "Vegetative History" ]

[ "Subjective" ]

2,038

doctor: take care .

[ "Chitchat" ]

[ "Null" ]

2,039

and i can order that for today . um , do you have time to complete that ? it should n't take too long .

[ "Discussion", "Diagnostic Testing" ]

[ "Plan" ]

2,040

all right . hey , dragon , show me the ekg . and the nurses did an ekg before you came in , and that looks perfectly fine , okay ? so i wan na just go ahead and talk a little about your assessment and my plan for you . so for your first problem , your depression , i think you're doing a really good job with your strategies . i do n't think ... it does n't sound to me like i need to start you on any medication at this time , unless you feel differently .

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

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

2,041

okay so exquisite tenderness tenderness laterally and then if i push here does that hurt too

[ "Physical Examination" ]

[ "Objective" ]

2,042

okay . um , uh , again , i want you to call me if you have any problems with your breathing , okay ?

[ "Discussion", "Follow-up" ]

[ "Plan" ]

2,043

okay . all right . for your third problem , your type two diabetes , i want to go ahead and increase your metformin to 1000 milligrams , twice daily .

[ "Medication", "Reassessment" ]

[ "Assessment", "Plan" ]

2,044

alright

[ "Chitchat" ]

[ "Null" ]

2,045

okay is n't that slightly terrifying they had to do the same thing for me and you're just kind of sitting there watching all of the trees go by so anyway so what part of your knee is bothering you the most is it the inside the outside

[ "Acute Symptoms" ]

[ "Subjective" ]

2,046

yes , the 200mgs daily . how's that working for you ?

[ "Therapeutic History" ]

[ "Subjective" ]

2,047

all right-y . okay . well , that was a really good review . so , ashley , before all of this , would you say that , all in all , you were a pretty healthy child ?

[ "Personal History" ]

[ "Subjective" ]

2,048

okay and when did you first notice the spot ?

[ "Personal History" ]

[ "Subjective" ]

2,049

okay do you use any other type of tobacco products

[ "Drug History" ]

[ "Subjective" ]

2,050

okay , and you take that twice a day ?

[ "Therapeutic History" ]

[ "Subjective" ]

2,051

okay . and , um , did , uh , do you have any numbness in your hand at all ? or any pain when you move your wrist ?

[ "Acute Symptoms" ]

[ "Subjective" ]

2,052

okay alright and so okay fair enough now how's your diabetes been been been doing lately have you what have your blood sugars been running in the low one hundreds or two hundreds or what

[ "Personal History" ]

[ "Subjective" ]

2,053

okay and so you were like moving what what were you moving exactly when you say lifting

[ "Acute Symptoms" ]

[ "Subjective" ]

2,054

doctor: hey , dragon ? finalize the note .

[ "Chitchat" ]

[ "Null" ]

2,055

how is that going for you is it still happening

[ "Vegetative History" ]

[ "Subjective" ]

2,056

so i think you're a great candidate for a breast reduction . when we talk about a breast reduction , what happens is that we remove the tissue out of the breast .

[ "Discussion", "Other Treatments" ]

[ "Plan" ]

2,057

all right . well let's go ahead and take a look at your hip .

[ "Physical Examination" ]

[ "Objective" ]

2,058

okay . all right . in terms of your , your diabetes , how are you doing with that ? i know you're on the insulin pump .

[ "Personal History" ]

[ "Subjective" ]

2,059

yeah i i know i'm like apple i do n't know if you have an iphone or not but i know apple has this the the sleep mode now do that disturbance so you put that on

[ "Referral" ]

[ "Plan" ]

2,060

it could n't stop pooping yeah i mean that that might cause like anxiety or something like that you know we ca n't stop pooten he's he's he's in charge of my united states but right now i'm i'm really you know me i'm concerned about your heart so i do wan na get the ekg just to make sure you know it'll be would n't be good if we did n't get that you know in the case that you you leave here something terrible happened and and i would n't want that to happen on my watch so

[ "Discussion", "Diagnostic Testing" ]

[ "Plan" ]

2,061

okay . and now , military wise , what's the time frame of when you'll be completing some of these exertional tests ? like , what are your next steps ?

[ "Other Socials" ]

[ "Subjective" ]

2,062

okay well hi joe i understand you've hurt your knee how how are you doing

[ "Acute Symptoms", "Greetings" ]

[ "Subjective" ]

2,063

hey , dragon , i'm here seeing mrs . martinez . she's a 43-year-old female . why are we seeing you today ?

[ "Acute Symptoms" ]

[ "Subjective" ]

2,064

i read it in your chart

[ "Chitchat" ]

[ "Null" ]

2,065

good patellar patella tracks fine no crepitus alright let's go back to this medial side you're tender right there is that right

[ "Physical Examination" ]

[ "Objective" ]

2,066

. with the nurse but any nausea or vomiting or abdominal pain ?

[ "Vegetative History" ]

[ "Subjective" ]

2,067

okay alright so on a scale of one to ten how severe is the pain

[ "Acute Symptoms" ]

[ "Subjective" ]

2,068

okay and you said this happened yesterday correct

[ "Acute Symptoms" ]

[ "Subjective" ]

2,069

so that sounds stable to me . on your back exam , you know , you do have some pain to palpation of the lumbar spine . and you have pain with flexion and extension of the back . and you have a negative straight leg raise , which is which is good . so , let's- let's just look at some of your results , okay ?

[ "Physical Examination" ]

[ "Objective" ]

2,070

hey joshua good to see you today so take a look at your chart here brenda and i see that you're coming in you you have i think you have a kidney stone so can you tell me what's going on how are you feeling and you're my my patient

[ "Acute Symptoms", "Greetings" ]

[ "Subjective" ]

2,071

mm-hmm okay have you ever injured that foot before

[ "Personal History" ]

[ "Subjective" ]

2,072

all right . um , are you allergic to any medications ?

[ "Personal History" ]

[ "Subjective" ]

2,073

okay where

[ "Vegetative History" ]

[ "Subjective" ]

2,074

uh uh and does the pain like radiate anywhere

[ "Acute Symptoms" ]

[ "Subjective" ]

2,075

okay sure i'll get you a refill for norvasc we'll get that sent over to the pharmacy okay

[ "Discussion", "Medication" ]

[ "Plan" ]

2,076

okay . and how far can you walk before you feel short of breath or sort of overly fatigued ?

[ "Vegetative History" ]

[ "Subjective" ]

2,077

you were in a mountain biking lesson and you fell off your bike and twisted your ankle

[ "Acute Symptoms" ]

[ "Subjective" ]

2,078

okay what would do you know if you are doing something that would cause it to be an eleven are you back on your ski's

[ "Acute Symptoms" ]

[ "Subjective" ]

2,079

hmmm what situations do you notice the symptoms come on when is it when you're near your cat or outside the house

[ "Personal History" ]

[ "Subjective" ]

2,080

edward is a 59 year old male with a past medical history significant for depression , hypertension and prior rotator cuff repair who presents for followup of his chronic problems . so , edward , it's been a little while since i saw you .

[ "Personal History" ]

[ "Subjective" ]

2,081

your right knee and have you been able to walk since that happened that happened this morning

[ "Acute Symptoms" ]

[ "Subjective" ]

2,082

okay well i'm happy at age 67 you're out there playing tackle football so good good for you and was it your right shoulder or your left shoulder that you injured

[ "Acute Symptoms", "Chitchat" ]

[ "Subjective" ]

2,083

yeah , it may feel a little weird , but it's totally safe for you to drive .

[ "Discussion" ]

[ "Plan" ]

2,084

i know the nurse said to review a symptom sheet when you checked in .

[ "Discussion" ]

[ "Objective" ]

2,085

okay the headache has has maybe made you feel uncomfortable and prevented your your exercise would you say or what

[ "Personal History" ]

[ "Subjective" ]

2,086

alright and alright no but no fevers with this so since you're here your oxygen level looks pretty good in the clinic it's about ninety four percent on pulse your pulse oxygenation so that's good are you short of breath so when you walk or you or you exert yourself you're short of breath you said right okay and have you and how how is your blood sugar been doing since this has been going on i know you're on metformin how's your diabetes been doing

[ "Personal History", "Therapeutic History" ]

[ "Subjective" ]

2,087

okay good and going back you know to your grandparents has anybody else in the family had similar symptoms that you're aware of

[ "Family History" ]

[ "Subjective" ]

2,088

okay so when you say a lot like how frequently does it occur

[ "Personal History" ]

[ "Subjective" ]

2,089

about four months ago okay that's quite a long time and you're just seeing me now for it

[ "Acute Symptoms" ]

[ "Subjective" ]

2,090

okay . all right . and , have you had any headaches ?

[ "Acute Symptoms" ]

[ "Subjective" ]

2,091

have you been short of breath or any problems sleeping since you've been home

[ "Vegetative History" ]

[ "Subjective" ]

2,092

doctor: alright thanks

[ "Chitchat" ]

[ "Null" ]

2,093

donna torres , date of birth , 08/01/1980 . hi donna ! how are you ?

[ "Personal History", "Greetings" ]

[ "Subjective" ]

2,094

okay so we are we are gon na have to negotiate some of these diet things and then especially since you have diabetes like have you been managing that well

[ "Personal History" ]

[ "Subjective" ]

2,095

how are you doing

[ "Greetings" ]

[ "Subjective" ]

2,096

okay . um , and what have you taken for the pain ?

[ "Acute Symptoms", "Therapeutic History" ]

[ "Subjective" ]

2,097

so we often like to keep people with heart problems on magnesium and get their levels up to around the 2-ish range . yours is a little bit less than 2 and we want that 2-ish range because it can help stabilize the heart muscle . so i might recommend putting you on magnesium supplement . it's supposed to be twice a day so that's kind of annoying , but i know you're on other medicines twice a day too , so i think you'll do fine .

[ "Other Treatments" ]

[ "Plan" ]

2,098

but you've got some swelling and erythema-

[ "Acute Assessment" ]

[ "Assessment" ]

2,099