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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
|
Subsets and Splits
Filtered ChitChat, Greetings, History
The query filters and retrieves specific records based on their index and intent labels, providing insight into a subset of chatty, greeting, and personal history interactions.