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seventy okay so a bit high and the hydrochlorothiazide have you been able to take that everyday
[ "Therapeutic History" ]
[ "Subjective" ]
2,100
okay . and-
[ "Chitchat" ]
[ "Null" ]
2,101
it's good to see you as well . so i know the nurse told you about dax . i'd like to tell dax a little bit about you . okay ?
[ "Chitchat" ]
[ "Null" ]
2,102
alright and have you ever seen a urologist i do n't think so you've been my patient for a while i do n't remember ever sending you but have you ever seen one
[ "Personal History" ]
[ "Subjective" ]
2,103
um , and i think from a , a cataract surgery standpoint and your skin cancer removal , everything seems to be fine and you're doing well , so i do n't think we need to adjust any of those medications .
[ "Discussion" ]
[ "Plan" ]
2,104
all right , and how far are you running ?
[ "Other Socials" ]
[ "Subjective" ]
2,105
miss edwards is here for evaluation of facial pain this is a 54 -year-old male
[ "Acute Symptoms", "Greetings" ]
[ "Subjective" ]
2,106
you're here for your hip today , or your- your leg today ?
[ "Acute Symptoms" ]
[ "Subjective" ]
2,107
so , we'll talk about , you know , how to go ahead and , and fix that . okay ? so , let me talk a little bit about my assessment and my plan for you .
[ "Discussion" ]
[ "Plan" ]
2,108
good . great . well , let me examine you , okay ?
[ "Chitchat" ]
[ "Null" ]
2,109
okay alright so karen have you felt the twitch
[ "Acute Symptoms" ]
[ "Subjective" ]
2,110
we we all like we all like the french fries you know but you know we we we we also do n't like strokes so we do n't want to have a scope and all the all the french fries so that's something definitely i would like you to work on and do you think you'd be able to to curb that french fry habit or that bad this bad food habits by yourself or do you think you need help
[ "Discussion", "Chitchat" ]
[ "Plan" ]
2,111
yeah , very good , and congratulations . and so , for social history , it looks like you work at an infusion center ?
[ "Other Socials" ]
[ "Subjective" ]
2,112
and then does the pain radiate down your arm or up into your shoulder or anything like that
[ "Acute Symptoms" ]
[ "Subjective" ]
2,113
alright so like is it a specific diet i just wan na make sure like are you on like the keto diet
[ "Personal History" ]
[ "Subjective" ]
2,114
for all of them ?
[ "Chitchat" ]
[ "Null" ]
2,115
it's good to see you too . so , i know the nurse told you a little bit about dax .
[ "Chitchat" ]
[ "Null" ]
2,116
go ahead and bend . okay . so your exam is generally normal , meaning that the rest of your body is normal
[ "Physical Examination", "Acute Assessment" ]
[ "Objective", "Assessment" ]
2,117
okay , all right . hey , dragon , show me the diabetes labs . yeah , so your hemoglobin a1c here is is 8 , you know last time we had seen it , it was about 6 and we had n't put you on medications so , um , i think it's something we'll have to talk about , okay ?
[ "Acute Assessment", "Lab Examination" ]
[ "Objective", "Assessment" ]
2,118
have you noticed any weakness on that side of the face like when you smile or while you're doing other things any weakness there
[ "Acute Symptoms" ]
[ "Subjective" ]
2,119
good afternoon matthew how are you
[ "Greetings" ]
[ "Subjective" ]
2,120
about a four okay and how long ago did you say this was is this happened this injury
[ "Acute Symptoms" ]
[ "Subjective" ]
2,121
thank you
[ "Chitchat" ]
[ "Null" ]
2,122
okay . um , well let me take a good look at you . um , now you'll hear me calling out some details as i perform the examination . these will be noted for me in your record and i'll be happy to answer any questions you have once we're done .
[ "Physical Examination" ]
[ "Objective" ]
2,123
okay . and since then , have you been following your diet pretty closely ?
[ "Personal History" ]
[ "Subjective" ]
2,124
so , i'm gon na just check you out , and i'm gon na let you know what i find . okay ?
[ "Physical Examination" ]
[ "Objective" ]
2,125
okay , so you also have some shortness of breath with with exertion .
[ "Vegetative History" ]
[ "Subjective" ]
2,126
okay , so on physical examination , on your heart exam , i do appreciate a little two out of six systolic ejection murmur-
[ "Physical Examination" ]
[ "Objective" ]
2,127
okay . before you got sick .
[ "Other Socials" ]
[ "Subjective" ]
2,128
any questions
[ "Discussion" ]
[ "Plan" ]
2,129
alright well have a good day
[ "Chitchat" ]
[ "Null" ]
2,130
hey , ms. james . nice to meet you .
[ "Greetings" ]
[ "Subjective" ]
2,131
i'm good , thanks . so , it looks like you had an infection , right ?
[ "Personal History" ]
[ "Subjective" ]
2,132
no ? okay . all right . well , i wan na go ahead and do a quick physical exam , okay ?
[ "Physical Examination" ]
[ "Objective" ]
2,133
yeah , so , um ...
[ "Chitchat" ]
[ "Null" ]
2,134
alright and so with your shoulder have you experienced any numbness in your arm or in your fingers
[ "Physical Examination" ]
[ "Objective" ]
2,135
i'm good . it's good to see you .
[ "Chitchat" ]
[ "Null" ]
2,136
okay hi wayne well i understand you're here for you've got a sore on your foot that's not healing is that right
[ "Acute Symptoms", "Greetings" ]
[ "Subjective" ]
2,137
was the pain worse with eating or exercise ?
[ "Vegetative History" ]
[ "Subjective" ]
2,138
okay . well , i think from this point , if you want to , we can take photos today , while you're here . i have all the documentation now in the note about your symptoms , and that's what the insurance company is going to look for . so thank you for answering those questions . so once we have the new provider , we'll go ahead and get that submitted . and then , when they approve it , um , what the office will do , is they'll work with you on a surgery date , and then we'll meet again right before the surgery to answer any last minute questions and go over the instructions in more detail , things like that .
[ "Other Treatments" ]
[ "Plan" ]
2,139
. so we can take a further look .
[ "Follow-up" ]
[ "Plan" ]
2,140
all right , how about if i twist it a little bit that way .
[ "Physical Examination" ]
[ "Objective" ]
2,141
okay and then for your third problem of your diabetes it sounds like you're doing really well let's go ahead and continue you on the metformin a thousand milligrams twice a day we will go ahead and order a hemoglobin a1c to see if we need to make any adjustments to that and i'm gon na see you again in about three to four weeks okay i want you to call me or message me in the patient portal if you have any concerns
[ "Follow-up", "Medication", "Reassessment" ]
[ "Assessment", "Plan" ]
2,142
all of them
[ "Personal History" ]
[ "Subjective" ]
2,143
i'm good , thank you . uh , acne doing better ?
[ "Personal History" ]
[ "Subjective" ]
2,144
okay michael so i see in here that you're here because you're experiencing some symptoms that your pcp was concerned about i also see that he ordered a ct so could you tell me what what started what happened why do you think you are here
[ "Greetings" ]
[ "Subjective" ]
2,145
no , nothing like that ?
[ "Personal History" ]
[ "Subjective" ]
2,146
and that's one puff twice a day ?
[ "Therapeutic History" ]
[ "Subjective" ]
2,147
okay alright now do you have pain all the time or does it come and go
[ "Acute Symptoms" ]
[ "Subjective" ]
2,148
no no no no no it's actually a day surgery and you'll be able to go home the same day and then you will follow up with me here in the clinic in about a week you'll be in a cast and you will use crutches as you will not be able to use that foot for six to eight weeks after that you'll start gradually walking on your foot based on how you do so the procedure itself is not very long you will and so like since you will be able to go home that's great but you wo n't be able to drive especially since you're saying are you left handed or right handed
[ "Discussion" ]
[ "Plan" ]
2,149
that's good you know it is running is a great exercise
[ "Chitchat" ]
[ "Null" ]
2,150
okay alright any does the pain extend anywhere
[ "Acute Symptoms" ]
[ "Subjective" ]
2,151
okay , yeah , i had gone through your hemoglobin a1c's and you know , they were borderline in the past but-
[ "Personal History" ]
[ "Subjective" ]
2,152
have you taken anything for the pain ?
[ "Therapeutic History" ]
[ "Subjective" ]
2,153
okay . and i know that you've had a coronary artery bypass grafting at the young age of 27 , so how's that going ?
[ "Personal History" ]
[ "Subjective" ]
2,154
was that long ago
[ "Chitchat" ]
[ "Null" ]
2,155
yeah yeah you really need to take them very consistently now you also said you were watching your diet did you did you have some slips with that you said your ankles were swelling
[ "Personal History" ]
[ "Subjective" ]
2,156
and then after you take the tylenol what does it go down to
[ "Acute Symptoms", "Therapeutic History" ]
[ "Subjective" ]
2,157
hey jean how're you doing today
[ "Greetings" ]
[ "Subjective" ]
2,158
hi , vincent . how are you ?
[ "Greetings" ]
[ "Subjective" ]
2,159
okay . um , so let's go ahead , and we'll ... i'm gon na do a quick physical exam .
[ "Physical Examination" ]
[ "Objective" ]
2,160
man okay what kind of dog do you have
[ "Other Socials" ]
[ "Subjective" ]
2,161
okay . was it normal ?
[ "Vegetative History" ]
[ "Subjective" ]
2,162
um , and we'll go ahead and we'll see you in a couple weeks , okay ?
[ "Follow-up" ]
[ "Plan" ]
2,163
no and do you have any problems walking
[ "Acute Symptoms" ]
[ "Subjective" ]
2,164
okay alright i'm gon na use this little needle here and i'm gon na poke here and i wan na see if you feel like it's being sharp or dull on that part of your face does that feel different or normal
[ "Physical Examination" ]
[ "Objective" ]
2,165
right . so , when was your last stress test ?
[ "Personal History" ]
[ "Subjective" ]
2,166
okay . and how have you been since then ? any problems or concerns ?
[ "Acute Symptoms" ]
[ "Subjective" ]
2,167
okay .
[ "Therapeutic History" ]
[ "Subjective" ]
2,168
i know the nurse told you about dax .
[ "Chitchat" ]
[ "Null" ]
2,169
from what ?
[ "Vegetative History" ]
[ "Subjective" ]
2,170
mm-hmm yeah that sounds like a
[ "Discussion", "Other Treatments" ]
[ "Plan" ]
2,171
okay how long ago did that happen
[ "Acute Symptoms" ]
[ "Subjective" ]
2,172
hey , dragon , show me the vital signs . so here in the office , you know , your blood pressure looks really good , as does your heart rate . so you are doing a good job managing your blood pressure . so i'm gon na take a listen to your heart and lungs , okay ?
[ "Physical Examination" ]
[ "Objective" ]
2,173
just in your right knee ?
[ "Acute Symptoms" ]
[ "Subjective" ]
2,174
good i was just gon na ask you if you were taking your lisinopril so that's good okay and any side effects from the lisinopril since we started it i think we started it about a year ago two years ago
[ "Therapeutic History", "Personal History" ]
[ "Subjective" ]
2,175
any thoughts like that .
[ "Acute Symptoms" ]
[ "Subjective" ]
2,176
okay alright and i saw you you did see your pcp before you came in did they put you on antibiotics
[ "Therapeutic History" ]
[ "Subjective" ]
2,177
what about you i mean are you real weak
[ "Acute Symptoms" ]
[ "Subjective" ]
2,178
let's try to make sure you do n't tip all the way over .
[ "Physical Examination" ]
[ "Objective" ]
2,179
but you know everything in moderation i mean just you know you just need to be careful you ca n't does n't have to go away
[ "Discussion" ]
[ "Plan" ]
2,180
okay so there is a smoker at home you know that does that does affect you so we might have to have a conversation with your brother and anybody else but it's good to know that people are n't sick i do see here though that you have kind of a a history of recurrent strep like you you seem to be having these sore throats a lot i think it says that you've had four in the last five months is that correct
[ "Personal History" ]
[ "Subjective" ]
2,181
let me see your your foot here and let me take your big toe through a range of motion if i push your top to bottom
[ "Physical Examination" ]
[ "Objective" ]
2,182
okay , great . my nurse will be in shortly to discharge you . take care !
[ "Chitchat" ]
[ "Null" ]
2,183
okay . anybody in the family with kidney failure , dialysis or transplant ?
[ "Family History" ]
[ "Subjective" ]
2,184
okay no pain with extension either does it hurt while you're just standing here
[ "Physical Examination" ]
[ "Objective" ]
2,185
okay we checked your hemoglobin a1c last time i'm looking at your records in epic and it showed that it was you know seven . one so it's it's it's good but it could be better any you know we talked about it controlling your diet or improving your diet and trying to have a balanced meal and not eating some of these sweets and high sugar items how is that going i know you had talked about your wife being a great cook and making cookies and that's hard to stay away from obviously how are things going with that
[ "Personal History" ]
[ "Subjective" ]
2,186
good morning carolyn how are you
[ "Greetings" ]
[ "Subjective" ]
2,187
hey philip good to see you today so take a look here at my notes i see you're coming in for some right knee pain and you have a past medical history of hypertension and we will take a look at that so can you tell me what happened to your knee
[ "Acute Symptoms", "Personal History", "Greetings" ]
[ "Subjective" ]
2,188
i did you know i looked at the results of your kidney function that's what we call your creatinine just because you had some contrast dye and sometimes contrast dye can impact the kidneys and your kidney function is stable which is great when was the last time you saw your nephrologist
[ "Personal History", "Lab Examination" ]
[ "Subjective", "Objective" ]
2,189
okay and then once i get down here and around that low back i wan na press in the center first does that cause you a lot of pain
[ "Physical Examination" ]
[ "Objective" ]
2,190
and i wan na see you back in two weeks to see how you're doing with that if you're not seeing significant improvement then we may have to talk about doing things that are a little more invasive like doing a shot
[ "Follow-up", "Other Treatments" ]
[ "Plan" ]
2,191
so , alan is a 61-year-old male , here with complaints of shortness of breath . so alan , what's going on ?
[ "Acute Symptoms" ]
[ "Subjective" ]
2,192
alright so i'll see you back in two weeks and i hope you have fun at the zoo this weekend
[ "Follow-up" ]
[ "Plan" ]
2,193
okay with this pain like on a scale of one to ten how severe is it
[ "Acute Symptoms" ]
[ "Subjective" ]
2,194
okay alright and are you so so okay i'm gon na think on this but in the meantime i'm gon na do my physical exam alright
[ "Physical Examination" ]
[ "Objective" ]
2,195
okay and do you remember what caused the pain initially
[ "Acute Symptoms" ]
[ "Subjective" ]
2,196
okay so you might have a little white coat syndrome i know some of my patients definitely do have that so what about your diet i know we talked a little bit before about you reducing your sodium intake to about twenty three hundred milligrams per per day i know you were during the pandemic your diet got out of little bit out of control so how have you been doing how have you been doing with that
[ "Personal History" ]
[ "Subjective" ]
2,197
hey , dragon , show me the labs . and in reviewing the results of your labs , everything else looks good . so again , you know , you do n't have an elevated white blood cell count or anything like that . so i think we got this early enough , and we can go ahead and , and treat it , okay ?
[ "Acute Assessment", "Lab Examination" ]
[ "Objective", "Assessment" ]
2,198
yeah . that's ... yeah . that'll work 'cause i'm gon na have to drop for this . but i think we're good for everything else .
[ "Family History" ]
[ "Subjective" ]
2,199