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med_intent_classification

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okay what about chest pain
[ "Acute Symptoms" ]
[ "Subjective" ]
2,500
okay you are not missing doses or anything are you by chance
[ "Therapeutic History" ]
[ "Subjective" ]
2,501
okay and how about fatigue have you been feeling more tired
[ "Vegetative History" ]
[ "Subjective" ]
2,502
okay so pain with both flexion and extension
[ "Physical Examination" ]
[ "Objective" ]
2,503
you're not taking your blood pressures , i take it-
[ "Personal History" ]
[ "Subjective" ]
2,504
anytime i move it do you remember falling
[ "Acute Symptoms" ]
[ "Subjective" ]
2,505
doctor: alright thanks elijah
[ "Chitchat" ]
[ "Null" ]
2,506
okay alright well i saw that they did a rapid covid test when you came in here and that was negative so that's good so you do n't have covid which is which is good now let's talk a little bit about your hypertension and hypertension since i have you here did you ever buy that blood pressure cuff that i asked you to buy
[ "Personal History" ]
[ "Subjective" ]
2,507
well i think the last time you were in the clinic and one of the clinics said the referrals the your blood pressure was elevated so they had mentioned that i noticed a trend in your blood pressure it's been running on a little bit on the high side we have n't really diagnosed you with that yet but i think we are something that we should definitely consider looking at your trend of your blood pressure readings over the last you know a few years
[ "Personal History" ]
[ "Subjective" ]
2,508
okay it kinda try let's let's try describing the pain for me please
[ "Acute Symptoms" ]
[ "Subjective" ]
2,509
yeah , it was .5 last year and anything under 4 is good .
[ "Lab Examination" ]
[ "Objective" ]
2,510
hmmm okay yeah yeah understood so those cadboy eggs they'll get you every time too right
[ "Chitchat" ]
[ "Null" ]
2,511
okay you're welcome have a good day bye
[ "Chitchat" ]
[ "Null" ]
2,512
okay . are you still seeing the physical therapist in the center , or are you just doing exercises at home ?
[ "Personal History" ]
[ "Subjective" ]
2,513
would you like that ?
[ "Discussion", "Referral" ]
[ "Plan" ]
2,514
alright so do you have any family members that have spine conditions
[ "Family History" ]
[ "Subjective" ]
2,515
they are going to be free ninety nine because your mom is paying for them
[ "Discussion" ]
[ "Plan" ]
2,516
okay . and you had a skin cancer removed about five months ago as well . you've had a lot going on .
[ "Personal History" ]
[ "Subjective" ]
2,517
now are you watching the nba playoff should i or should i not bring that up i is that a sensitive subject i mean i'm a self expand and and we did sweep the nuts so
[ "Chitchat" ]
[ "Null" ]
2,518
yeah i'm sorry yep probably now at the peak of you know just learning it and being able to do more with it this comes and this happens right
[ "Other Socials" ]
[ "Subjective" ]
2,519
so , that likely will not help too much . you can try either , if you really want to , but then ... it will not accept you into the weight loss study if you try those two .
[ "Discussion", "Medication" ]
[ "Plan" ]
2,520
yeah . amino acids are fine , they wo n't , wo n't really help with weight loss either , but it might help , uh , you replenish , and just kind of , feel hydrated .
[ "Discussion" ]
[ "Plan" ]
2,521
alright now for your third problem your kidney disease i do want to get some more labs some more blood work to make sure that you tolerate this regimen
[ "Diagnostic Testing", "Reassessment" ]
[ "Assessment", "Plan" ]
2,522
yes sir work harder
[ "Chitchat" ]
[ "Null" ]
2,523
next patient is grace ross . date of birth 8-23-97 . ms. ross is a new patient . she's here today for a full spectrum std testing . the patient states that she's having symptoms of discomfort , a change in discharge , and odor in her vaginal region . she says that the right side of her vagina is starting to become painful . she denies any fevers or chills . she reports , that she recently learned , her partner has been in sexual encounters with other people , and she wants to be evaluated for all stds . hello , ms. ross . i'm dr. diaz . it's good to meet you .
[ "Personal History", "Greetings" ]
[ "Subjective" ]
2,524
okay . so , on your physical examination , you know , i do appreciate some jugular venous distention to-
[ "Physical Examination" ]
[ "Objective" ]
2,525
yeah , i have heard that as well . and , um , have you had any children , or are you planning to have any children in the future ?
[ "Other Socials" ]
[ "Subjective" ]
2,526
a new doc each time ?
[ "Personal History" ]
[ "Subjective" ]
2,527
okay . okay . well , um , you know , said ... you said you were coming in with shortness of breath , so we sent you to get some pulmonary function tests .
[ "Acute Symptoms" ]
[ "Subjective" ]
2,528
okay , right here ?
[ "Physical Examination" ]
[ "Objective" ]
2,529
nice that's great
[ "Chitchat" ]
[ "Null" ]
2,530
that's that's that's not too bad i think when you first came in you were around like one eighty so it seems to be that that norvasc is is working for you how about your diet i know you were having a little issue eating some fast food and and cakes and cookies and have you been able to get that under control
[ "Personal History", "Therapeutic History" ]
[ "Subjective" ]
2,531
very good we will see you in two weeks
[ "Referral" ]
[ "Plan" ]
2,532
okay . have you noticed any swelling there on the-
[ "Acute Symptoms" ]
[ "Subjective" ]
2,533
okay . hey , dragon , order physical therapy referral . and then in terms of your depression , we talked about increasing your prozac , so we'll increase it from 20 milligrams to 40 milligrams . it's just one tablet once a day .
[ "Medication", "Referral" ]
[ "Plan" ]
2,534
mm-hmm
[ "Acute Symptoms", "Therapeutic History" ]
[ "Subjective" ]
2,535
okay and how is your blood pressure been doing are you keeping up with your medication
[ "Personal History" ]
[ "Subjective" ]
2,536
okay how about when you stand back up
[ "Physical Examination" ]
[ "Objective" ]
2,537
so normal physical exam per my new patient template , except for well-healed abdominal surgical scars noted . what's the surgical scar here on your abdomen from ?
[ "Physical Examination" ]
[ "Objective" ]
2,538
so i know my nurse told you a little bit of- ... um , about dax and i'm gon na tell dax a little bit about you , if that's okay ?
[ "Chitchat" ]
[ "Null" ]
2,539
okay . and have you had any fever or chills ?
[ "Vegetative History" ]
[ "Subjective" ]
2,540
yep okay so you definitely feeling some a little bit of pain to palpation at the medial joint line now i'm gon na have you lie on your back and also i'm gon na do some maneuvering here of your leg i'm gon na do a real quick test on you here okay alright how does that feel
[ "Physical Examination" ]
[ "Objective" ]
2,541
so do you have any other medical conditions
[ "Personal History" ]
[ "Subjective" ]
2,542
all right . any other questions ?
[ "Discussion" ]
[ "Plan" ]
2,543
okay . good . all right . so , on physical examination , i , i do n't hear any carotid bruits in your neck , which is really good . you know , your heart exam , i do hear a slight 2/6 systolic ejection murmur , which i've heard in the past , so that's stable . uh , your lungs are nice and clear , and you do have , you know , 1+ pitting edema bilaterally in your lower extremities .
[ "Physical Examination", "Acute Assessment" ]
[ "Objective", "Assessment" ]
2,544
okay and tell me does anyone at home smoke
[ "Vegetative History" ]
[ "Subjective" ]
2,545
any questions ?
[ "Discussion" ]
[ "Plan" ]
2,546
well you are absolutely correct you know stress can often be a trigger for things like smoking and drinking have you thought what you would do this time when you encountered the stressful situations
[ "Drug History" ]
[ "Subjective" ]
2,547
okay yeah that's good that that's that's definitely good yeah i know a lot of people during the pandemic it was you know sitting at home and and eating more than we should but that's i'm very happy that you've been compliant and you have that low salt diet so let's talk about your diabetes i think you see here on on five hundred of metformin are you taking that as well daily
[ "Therapeutic History" ]
[ "Subjective" ]
2,548
okay , yes , i see that report now . one polyp in the sigmoid colon which had a benign tubular adenoma . okay . and when was your last menstrual period ?
[ "Vegetative History" ]
[ "Subjective" ]
2,549
and can you walk on your tippy toes ? good , okay . and can you walk on your heels ? kind of a heel walk and toe walk are intact . um , go ahead and turn around please .
[ "Physical Examination" ]
[ "Objective" ]
2,550
does it does it alleviate the problem
[ "Acute Symptoms" ]
[ "Subjective" ]
2,551
so logan is a 57-year-old male , with a past medical history significant for coronary artery bypass grafting , hyperlipidemia , and ocd , who presents with an upper respiratory infection . so , logan , what's going on ?
[ "Acute Symptoms", "Personal History" ]
[ "Subjective" ]
2,552
okay alright so see i'm gon na i'd like to do just a quick physical exam and i've reviewed your vitals those look good your no fever so that's good you're ninety seven . eight and your heart rate looks good at sixty two respirations sixteen your blood pressures one sixteen over eighty four that looks fine your oxygen saturation is real good at ninety nine percent so that all looks good so let's take a look at your left at your right shoulder so you have limited active and passive range of motion and there is some tenderness at the great tuberosity of the humerus there is no tenderness at the sternoclavicular or acro acromioclavicular joints you do have a good hand grip okay and on neurovascular exam of your right arm your capillary refill is less than three seconds and your sensation to touch is intact so i've reviewed the results of your shoulder x-ray and there is no fracture so that's good so let me tell you a little bit about my assessment and plan so for your first problem the left shoulder pain your symptoms are most likely due to this rotator cuff rotator cuff tendinopathy that means you that you injured injured the tendons of the muscles that help make your shoulder muscles i think we had to go ahead and order just an mri since you have had some problems before as well to make sure there's nothing else going on with it and i also want to refer you to physical therapy for approximately six to eight weeks and so during that time continue the tylenol and if your symptoms do n't improve we can go ahead and consider a steroid injection of your shoulder which could provide some relief do you have any questions about your plan
[ "Physical Examination", "Discussion", "Medication", "Radiology Examination", "Referral", "Diagnostic Testing", "Acute Assessment" ]
[ "Objective", "Assessment", "Plan" ]
2,553
okay . can you think of anything that might have caused the chest pain ? did you wake up with it ?
[ "Acute Symptoms" ]
[ "Subjective" ]
2,554
we've been , kind of , checking on this for a while and you've been on metformin . we actually increased your dose last time-
[ "Therapeutic History" ]
[ "Subjective" ]
2,555
i'm going to be blunt . unfortunately this happens often where you're feeling good but you want to feel really good . i mean , i get it and this is why people get into problems with this stuff , right ? it's like , back in the day when it was n't prescribed by doctors and people would get it at gyms and stuff and they would take huge doses . and then they would have a heart attack at 50 .
[ "Discussion", "Medication" ]
[ "Plan" ]
2,556
okay is there anything that you notice that makes that pain worse or better like rest or movement or eating or anything else
[ "Acute Symptoms" ]
[ "Subjective" ]
2,557
okay alright and how many packs a day would you smoke
[ "Drug History" ]
[ "Subjective" ]
2,558
on the inside of it okay and after the injury did they do anything special for you or you know did you get ice on it right away or try anything
[ "Acute Symptoms", "Therapeutic History" ]
[ "Subjective" ]
2,559
okay . all right . so , in terms of your depression , how are you doing with that ?
[ "Personal History" ]
[ "Subjective" ]
2,560
okay , he ... she has some pain to palpation of the olecranon . of the left olecra- olecranon , and it is warm to palpation . um , can you straighten your elbow for me ?
[ "Physical Examination" ]
[ "Objective" ]
2,561
okay alright well i mean i i'm i'm a long horns fan but anyway well i digress let's talk a little bit about your diabetes how are how are you doing with your sugars are you watching your diet
[ "Personal History" ]
[ "Subjective" ]
2,562
okay , all right . have your blood pressures been running high in the past ?
[ "Personal History" ]
[ "Subjective" ]
2,563
okay so you do have pain you were positive for pain when you pronate that that that forearm okay i'm gon na go ahead and have you rest your arm on the table here palm side up now i want you to raise your hand by bending at the wrist and i'm gon na put some resistance against it do you have any pain when i press against your flexed wrist
[ "Physical Examination" ]
[ "Objective" ]
2,564
i see . um , are you breastfeeding at this time ?
[ "Vegetative History" ]
[ "Subjective" ]
2,565
but what about at home how about your siblings are any of them sick
[ "Other Socials" ]
[ "Subjective" ]
2,566
any other questions or anything we know if we need to talk about today
[ "Discussion" ]
[ "Plan" ]
2,567
what that is okay so do you have any other questions for me
[ "Discussion" ]
[ "Plan" ]
2,568
you know i i have n't i have n't heard that before you know
[ "Discussion", "Other Treatments" ]
[ "Plan" ]
2,569
so anna good to see you today so reading here in your appointment notes you were you were diagnosed with kidney stones from your your pcp and you currently have one and so they they had you come in so can you tell me what happened how's all that going for you
[ "Personal History", "Greetings" ]
[ "Subjective" ]
2,570
doctor: got it . cool . i'm gon na stop-
[ "Chitchat" ]
[ "Null" ]
2,571
perfect . and then you've got the high cholesterol and the vascular disease in your legs . you're on atorvastatin . are you tolerating it okay ?
[ "Personal History", "Therapeutic History" ]
[ "Subjective" ]
2,572
okay well so what i want to tell you is that i think you have a knee sprain from overuse and we see that sometimes in runners now unfortunately you're gon na have to take some a little bit of time off of of active running but i do n't think it will be that long until we can get you up and running again now i reviewed the x-rays that we did when you first came into the office here this morning and the joint spaces of that right knee are are well maintained i do n't see any evidence of any fracture and when compared to the left knee everything looks good so i do n't even see any signs of any arthritis that i would've been suspecting i would like you to stay on two tylenol five hundred milligrams and two ibuprofen two hundred milligram tablets and i want you to take that three times a day and that's gon na help with both the pain and the inflammation i'm also gon na order some physical therapy for your your right knee and that physical therapy will help strengthen the lower extremities and make it give you a little bit of a balance and some they'll be able to recommend good running exercises for you i do wan na follow up with you in two weeks and see if we're getting better so let's no running for two weeks and if we're we're improving then we'll move on and probably start adding some additional activity does that sound like a plan
[ "Discussion", "Follow-up", "Medication", "Radiology Examination", "Referral", "Acute Assessment" ]
[ "Objective", "Assessment", "Plan" ]
2,573
okay , okay , so that has n't been working for you ?
[ "Therapeutic History" ]
[ "Subjective" ]
2,574
okay and what conditions would you say run in your family
[ "Family History" ]
[ "Subjective" ]
2,575
okay alright and when you move your knee away from your body you're bending like your you're pulling it towards me does that hurt
[ "Physical Examination" ]
[ "Objective" ]
2,576
doctor: bye sorry
[ "Chitchat" ]
[ "Null" ]
2,577
hello .
[ "Greetings" ]
[ "Subjective" ]
2,578
if you can do that
[ "Chitchat" ]
[ "Null" ]
2,579
alright any questions for me
[ "Discussion" ]
[ "Plan" ]
2,580
okay , that's great . all right . so what we'll do is we'll go ahead and take a look . i'm gon na take a couple of measurements . and we'll kinda talk about the surgery afterwards . um , so go ahead and stand up for me , julia . okay . so , looking at the measurements , it looks like one breast is a little lower than the other .
[ "Physical Examination" ]
[ "Objective" ]
2,581
yeah . so what i wan na do first is just get a little bit of history about the sort of symptoms that you're having . and then i'll do a quick exam .
[ "Personal History" ]
[ "Subjective" ]
2,582
sensation is normal to the touch
[ "Physical Examination" ]
[ "Objective" ]
2,583
hmmm okay
[ "Acute Symptoms" ]
[ "Subjective" ]
2,584
yeah absolutely i do think for your your primary problem the elbow that we might wan na get put you in some physical rehab if the problem is taking a little longer to heal but we'll discuss that at your next visit here okay
[ "Discussion", "Referral" ]
[ "Plan" ]
2,585
okay . and so fatigue as well . and have you ever had any testing of your heart done ?
[ "Personal History" ]
[ "Subjective" ]
2,586
all right . so on physical examination of your heart , you know , i do hear that's , like , two out of six systolic ejection murmur , but we've heard that in the past . your lungs sound nice and clear . and on your knee exam , i do appreciate , you know , some bilateral , uh , edema and some slight erythema , there is a slight effusion present on the right knee . does that hurt ?
[ "Physical Examination" ]
[ "Objective" ]
2,587
hello larry how are you doing today
[ "Acute Symptoms", "Greetings" ]
[ "Subjective" ]
2,588
and did you , did you injure one of them ?
[ "Personal History" ]
[ "Subjective" ]
2,589
we'll talk about that later too
[ "Chitchat" ]
[ "Null" ]
2,590
i understand you're you've come in with some right knee pain can you tell me about it what's going on
[ "Acute Symptoms" ]
[ "Subjective" ]
2,591
all right , um , so i'm going ahead and tee up a one year prescription for you because at this point i'll want to see you once a year . i want to make sure that you have enough of your medicines , um , and these are going to walgreens on broad ?
[ "Discussion", "Follow-up" ]
[ "Plan" ]
2,592
okay , good . can you flex your toes please ? good range of motion . also ridges in nails , that's from the psoriasis .
[ "Physical Examination" ]
[ "Objective" ]
2,593
no no no you're not dying but i think we have i think i have a good idea of what's causing your back pain so first let's talk about the mri that you had the results show a disk desiccation a disk bulge with parison paracentral disk herniation resulting in moderate right for neural foraminal stenosis okay
[ "Radiology Examination" ]
[ "Objective" ]
2,594
all right . do you need a refill of that ?
[ "Medication" ]
[ "Plan" ]
2,595
okay have you broke up with him already or
[ "Chitchat" ]
[ "Null" ]
2,596
okay if you tap down here on these bones your cheek bones any tenderness there
[ "Physical Examination" ]
[ "Objective" ]
2,597
okay , and does it- does it go away if you- if you rest ?
[ "Personal History", "Vegetative History" ]
[ "Subjective" ]
2,598
okay alright when did you stop smoking
[ "Drug History", "Drug History" ]
[ "Subjective" ]
2,599