DATEXIS/med_intent_classification · Datasets at Hugging Face

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so , i got a notification that you were in the emergency room , but , but what were you there for ?	[ "Personal History" ]	[ "Subjective" ]	300
so , alexander is a 62-year-old male , with a past medical history significant for reflux , who presents for follow-up of his chronic problems . so , alexander , what's being going on ?	[ "Therapeutic History", "Personal History" ]	[ "Subjective" ]	301
what is it	[ "Discussion" ]	[ "Plan" ]	302
okay . all right . um , now , have you had your covid vaccines ?	[ "Personal History", "Therapeutic History" ]	[ "Subjective" ]	303
okay . and how many days ago was that ?	[ "Acute Symptoms" ]	[ "Subjective" ]	304
okay alright well it sounds like it could've been gout you know with your chronic kidneys chronic kidney disease it it's a possibility so for this possible gout flare for your fourth problem of your possible gout flare let's go ahead i wan na just go ahead and order a uric acid just to see and it's something that we can talk about there is an alternative medication that you can take with your kidney function that that would n't hurt it that would n't injure it any further and i think it would work just the same	[ "Discussion", "Medication", "Diagnostic Testing", "Reassessment" ]	[ "Assessment", "Plan" ]	305
all right . and what are you taking ?	[ "Therapeutic History" ]	[ "Subjective" ]	306
it it's the the one of the antibodies in your body and that that really makes that your body makes to fight infections it's a little bit low i'm happy to explain it a little bit more to you i just have a few more questions okay so let's start again here	[ "Discussion" ]	[ "Plan" ]	307
okay ? so , andrew is a 62-year-old male with a past medical history significant for a kidney transplant , hypothyroidism , and arthritis , who presents today with complaints of joint pain . andrew , what's going on with your joint ? what happened ?	[ "Acute Symptoms", "Personal History" ]	[ "Subjective" ]	308
yeah i do n't think it's i do n't think so because it's it is the same part of her body that's moving every time that and she reports that it's somewhat of an there is an urge to blink her eye and some relief afterwards	[ "Discussion" ]	[ "Plan" ]	309
okay okay good and just a couple you know do you how do you have many or do you drink often do you have you know many any alcohol consumption	[ "Drug History" ]	[ "Subjective" ]	310
okay which knee was it	[ "Acute Symptoms" ]	[ "Subjective" ]	311
we've we've had some really good responses from other patients on it so hopefully i mean that should be a good solution for you since you've been having issues with this	[ "Discussion" ]	[ "Plan" ]	312
okay great	[ "Chitchat" ]	[ "Null" ]	313
yeah , your alt was about 128 .	[ "Personal History", "Lab Examination" ]	[ "Subjective", "Objective" ]	314
okay so you are positive for pain with flexion and extension of your back i'm going to go ahead and test the strength of your legs now push out against my hands for me please	[ "Physical Examination" ]	[ "Objective" ]	315
so severe right upper arm pain .	[ "Acute Symptoms" ]	[ "Subjective" ]	316
yeah and that can happen and one of those things that causes that is that those intake of that fatty foods which is you know kind of the the keystone or the hallmark of the keto diet and have you noticed any improvement when you do cut out that fatty food and has that been difficult since you are watching your carb intake	[ "Personal History" ]	[ "Subjective" ]	317
what kind of activities ?	[ "Acute Symptoms" ]	[ "Subjective" ]	318
alright and have you have you been able to stand on it or does that hurt too much	[ "Acute Symptoms" ]	[ "Subjective" ]	319
um , let's take a look in six months and then we'll go from there . sound like a plan ?	[ "Follow-up" ]	[ "Plan" ]	320
okay . good . and how about your bowel movements ; are they okay ?	[ "Vegetative History" ]	[ "Subjective" ]	321
your right knee okay and i know that it sounds like you were on a motor boat as you were you know water skiing but did you hear anything pop or feel anything pop when it happened	[ "Acute Symptoms" ]	[ "Subjective" ]	322
you're welcome so let me tell you a little bit about my assessment and plan for your first problem of asthma your symptoms are consistent with moderate intermittent asthma i'm gon na start you on flovent one hundred ten micrograms one puff twice per day that's gon na be important for you to be consistent with your inhaled steroid inhaler this is gon na help prevent those daily symptoms and from needing for you to use your albuterol inhaler or that rescue inhaler less frequently you can continue using your ventolin inhaler and that would be two puffs every four to six hours p.r.n . i'm also gon na put together an asthma action plan for you so we know what to do based on your symptoms i'd like to see you again in a month or sooner if you have any worsening symptoms does that sound okay	[ "Follow-up", "Medication", "Acute Assessment" ]	[ "Assessment", "Plan" ]	323
okay , that's fine . how about your eye exams ? are they up-to-date ?	[ "Personal History" ]	[ "Subjective" ]	324
okay and then tell me what have you taken for your pain	[ "Acute Symptoms", "Therapeutic History" ]	[ "Subjective" ]	325
there's no fever , your blood pressure and your heart rate look great , so that's , that's awesome .	[ "Physical Examination" ]	[ "Objective" ]	326
lay back on the stretcher for me for a second i'm gon na go ahead and and lift your legs for me or i'm gon na go ahead and lift your legs for you just relax i'm gon na start here on the right side when i lift that right leg up does that cause you significant pain or any pain at all	[ "Physical Examination" ]	[ "Objective" ]	327
alright	[ "Chitchat" ]	[ "Null" ]	328
okay did they give you any meds for that	[ "Therapeutic History" ]	[ "Subjective" ]	329
okay . and so your bentyl , that's the anti-spasm medication , and i would take the higher dose .	[ "Discussion", "Medication" ]	[ "Plan" ]	330
being down being down here in florida we got ta get get some golf in so hey did you see the masters by the way a few weeks ago was n't that i do n't know did you happen to catch it	[ "Other Socials" ]	[ "Subjective" ]	331
mm-hmm	[ "Physical Examination", "Other Socials" ]	[ "Subjective", "Objective" ]	332
okay alright so the cough started a week ago but you have have started feeling worse over the last two days correct	[ "Acute Symptoms" ]	[ "Subjective" ]	333
how long have you been getting a regular period ?	[ "Vegetative History" ]	[ "Subjective" ]	334
just you okay and what do you do for work	[ "Other Socials" ]	[ "Subjective" ]	335
and some hospital outcomes and what we might suggest to fix that out , i'll go over that . so one possible suspicion i'm having is it's called , um , aortic stenosis , and that just means that one of your main valves of your heart has narrowed a bit and the valve does n't really open , um , quite fully . and this could just reduce or block the blood flow from your heart into the main artery of your body , and that's called the aorta , into the rest of your body .	[ "Discussion", "Acute Assessment" ]	[ "Assessment", "Plan" ]	336
all right . please use my physical exam template . um , i wan na take a quick listen to her heart and lungs . i'll look in her ears too . and she can sit , she can just sit on your lap .	[ "Physical Examination" ]	[ "Objective" ]	337
okay , all right . well i'm glad that you talked about that with me today , um , i know the nurse did a review of systems sheet with you , and , you know , you're obviously endorsing this- this chest pressure . um , have you had any other symptoms , i know the- the other ones that you have n't had , but any lower extremity edema , or muscle aches , or fever chills ?	[ "Acute Symptoms", "Vegetative History" ]	[ "Subjective" ]	338
all right , well let's go ahead and we'll do a physical exam , okay ?	[ "Physical Examination" ]	[ "Objective" ]	339
any chest pain , shortness of breath , nausea , vomiting , dizzy- dizziness ?	[ "Vegetative History" ]	[ "Subjective" ]	340
okay . um , uh , hey , dragon ? show me the vital signs . okay , good news here is your blood pressure's good . everything , um , there is fine . so , um , so , my assessment is , is , um , your first problem is diabetes . it's a little out of control . we'd like that hemoglobin a1c to be under seven , um , at least . you know , preferably , under six .	[ "Physical Examination", "Discussion", "Reassessment" ]	[ "Objective", "Assessment", "Plan" ]	341
okay ? hey , dragon , show me the labs . and here , looking at your lab results , you know , your white blood cell count is not elevated , which is good . you know , we get concerned about that in somebody who's immunocompromised .	[ "Lab Examination" ]	[ "Objective" ]	342
but you should be fine-	[ "Chitchat" ]	[ "Null" ]	343
mm-hmm	[ "Acute Symptoms" ]	[ "Subjective" ]	344
yeah , okay .	[ "Physical Examination" ]	[ "Objective" ]	345
and your last mammogram was in january 2021 ? and that was normal .	[ "Personal History" ]	[ "Subjective" ]	346
okay and what have you taken for the pain	[ "Acute Symptoms", "Therapeutic History" ]	[ "Subjective" ]	347
mm-hmm and they	[ "Acute Symptoms" ]	[ "Subjective" ]	348
we're gon na brace you we're gon na give you a brace	[ "Discussion", "Other Treatments" ]	[ "Plan" ]	349
eating well ? okay . do n't feel any concerns about hurting yourself or others or anything like that ?	[ "Vegetative History" ]	[ "Subjective" ]	350
yeah i bet that is sore now tell me this have you experienced any numbness in your arm or your hands or	[ "Vegetative History" ]	[ "Subjective" ]	351
it's good to see you too . so , i know the nurse told you about dax . i'd like to tell dax a little bit about you .	[ "Chitchat" ]	[ "Null" ]	352
okay . any nausea or vomiting , chest pains , shortness of breath ?	[ "Vegetative History" ]	[ "Subjective" ]	353
okay , yeah that lumbar fusion . um , let's take an x-ray . hey . or let's look at an x-ray . hey dragon , show me the latest x-ray . okay , we can see where you had your fusion , t4 here on the x-ray . but i do n't see anything that looks , um , significantly abnormal . it does n't appear to have any compression fractures or anything like that . so , it's essentially , except for the fusion , a normal exam . let me do your exam for you here . can i have you stand up please ? does it hurt when i twist you that way ?	[ "Physical Examination", "Radiology Examination" ]	[ "Objective" ]	354
it was hurting okay how long ago would you say that was	[ "Acute Symptoms" ]	[ "Subjective" ]	355
tell definitely tell him his doctor tell him i said it	[ "Discussion" ]	[ "Plan" ]	356
doctor: alright take care bye	[ "Chitchat" ]	[ "Null" ]	357
alright okay so i do feel the mass on the where to go here okay	[ "Physical Examination" ]	[ "Objective" ]	358
okay . and , uh , is it worse when you bend it ? or anything make it ... so , just wh-	[ "Acute Symptoms" ]	[ "Subjective" ]	359
okay and when you mention drinking and eating is do you feel like anything is getting stuck there	[ "Vegetative History" ]	[ "Subjective" ]	360
there are sorry yeah you're right there are risks associated with this kind of injection just like any procedure but we aim to minimize them and my ma when she comes in we will give you some paperwork with explanations and any and hopefully answer most of the questions that you have if after reading that you have any more questions please feel free to stop us we want to make sure that you feel as comfortable as possible during this time	[ "Discussion", "Medication" ]	[ "Plan" ]	361
okay yeah okay and so is the pain in your upper abdomen or where in your abdomen is it	[ "Acute Symptoms" ]	[ "Subjective" ]	362
okay alright now have you noticed any swelling in your legs	[ "Vegetative History" ]	[ "Subjective" ]	363
great . we'll get that set up for ya . all right , well i hope things , um , feel better , and we will see you back here in three months .	[ "Chitchat" ]	[ "Null" ]	364
because , um , if it was cancer , we'd actually , we would see some change .	[ "Discussion" ]	[ "Plan" ]	365
okay . and do you have the bra strap indentations in your shoulders ? um , i saw that you're wearing about a g cup .	[ "Personal History" ]	[ "Subjective" ]	366
gotcha . that is good to know . all right , well , let's go ahead and take a look .	[ "Therapeutic History" ]	[ "Subjective" ]	367
great . how about your breasts , are they doing all right ?	[ "Personal History" ]	[ "Subjective" ]	368
okay yeah that sounds like a good idea have you thought about even having a a cane just in case or do you think that's does that happen often enough	[ "Acute Symptoms", "Therapeutic History" ]	[ "Subjective" ]	369
i know . i know you had then , uh , when did you inject this time ?	[ "Therapeutic History" ]	[ "Subjective" ]	370
. chest pain ?	[ "Acute Symptoms", "Vegetative History" ]	[ "Subjective" ]	371
so less than a day .	[ "Acute Symptoms" ]	[ "Subjective" ]	372
okay alright so have you noticed any blood in any place or blood in your stools or are you vomiting anything up at all	[ "Vegetative History" ]	[ "Subjective" ]	373
okay alright well i hope you're not working too much and then you'll able to at least find some time with the family	[ "Other Socials" ]	[ "Subjective" ]	374
okay , what would you say your pain level is ?	[ "Acute Symptoms" ]	[ "Subjective" ]	375
okay okay so it's probably it do you think it's getting worse	[ "Acute Symptoms" ]	[ "Subjective" ]	376
okay excellent excellent and so right now you're on a combination of two different chemotherapies the cisplestan as well as the eupside and you had your last treatment just a few days ago but you're saying right now you've been able to tolerate the nausea and the fatigue	[ "Vegetative History" ]	[ "Subjective" ]	377
and before that , how are your bowel movements ?	[ "Personal History", "Vegetative History" ]	[ "Subjective" ]	378
okay . i see .	[ "Acute Symptoms", "Therapeutic History" ]	[ "Subjective" ]	379
good . all right . i'm going to take a look at your breast now . if you would just open up your gown for me . everything looks good .	[ "Physical Examination" ]	[ "Objective" ]	380
okay . that's great . and so , you're taking coumadin , right ?	[ "Therapeutic History" ]	[ "Subjective" ]	381
okay . range of motion is decreased in right hip with pain in the groin and internal and external rotation . okay , go ahead and keep it up , do n't let me push it down . does that hurt ?	[ "Physical Examination" ]	[ "Objective" ]	382
okay . all right . and how are you doing with your reflux ?	[ "Personal History" ]	[ "Subjective" ]	383
okay and are you having pain all the time or just or does it come and go	[ "Acute Symptoms" ]	[ "Subjective" ]	384
okay okay how do you like working from home	[ "Other Socials" ]	[ "Subjective" ]	385
and it should get better , uh , in about , you know , in a couple of days it should be improved . and if it does n't get better , give us a call and we'll see you some time next week . okay ? so we'll give you a sling , we'll give you the motrin , i'll give you about , uh , 30 , uh , uh , 30 , uh , uh , medications for that . uh , do you have any questions ?	[ "Discussion", "Follow-up" ]	[ "Plan" ]	386
okay , no pain going down your legs or anything like that ?	[ "Personal History" ]	[ "Subjective" ]	387
okay . it does look like you've had a decent number of sh- , uh , surgeries here , ?	[ "Personal History" ]	[ "Subjective" ]	388
okay let's talk about the asthma first so what inhaler are you using now	[ "Therapeutic History" ]	[ "Subjective" ]	389
okay . is , is one knee worse than the other ?	[ "Acute Symptoms" ]	[ "Subjective" ]	390
okay so you do have some numbing and tingling but it's not new	[ "Personal History" ]	[ "Subjective" ]	391
all right . and , um , is there is pain or , or just tingling and numbness ?	[ "Acute Symptoms" ]	[ "Subjective" ]	392
all right . anything else i can do for you today ?	[ "Discussion" ]	[ "Plan" ]	393
hey dad how are you doing	[ "Acute Symptoms" ]	[ "Subjective" ]	394
alright good well i had a chance to look at your mri	[ "Radiology Examination" ]	[ "Objective" ]	395
yeah , okay . so , um , tell me about how many wet diapers she has in a 24 hour period ?	[ "Personal History" ]	[ "Subjective" ]	396
yes great i i i'm so happy when my patients are compliant most of the times they do n't take it as as often but i'm i'm really excited for that what have your blood pressures been running i think today	[ "Personal History" ]	[ "Subjective" ]	397
okay okay and i know the metformin is a we started you on a lower dose it's the five hundred milligrams it's a new medication for you you've been tolerating it okay	[ "Therapeutic History" ]	[ "Subjective" ]	398
now as far as your breathing , i observed the pursed lip breathing and your exhalation is low . i think you should do a pulmonary function test to further evaluate , and i'll order that as well . now the nodule in your right testicle should be evaluated by urology , and we will place that referral today , also .	[ "Diagnostic Testing", "Referral" ]	[ "Plan" ]	399

so , i got a notification that you were in the emergency room , but , but what were you there for ?

[ "Personal History" ]

[ "Subjective" ]

300

so , alexander is a 62-year-old male , with a past medical history significant for reflux , who presents for follow-up of his chronic problems . so , alexander , what's being going on ?

[ "Therapeutic History", "Personal History" ]

[ "Subjective" ]

301

what is it

[ "Discussion" ]

[ "Plan" ]

302

okay . all right . um , now , have you had your covid vaccines ?

[ "Personal History", "Therapeutic History" ]

[ "Subjective" ]

303

okay . and how many days ago was that ?

[ "Acute Symptoms" ]

[ "Subjective" ]

304

okay alright well it sounds like it could've been gout you know with your chronic kidneys chronic kidney disease it it's a possibility so for this possible gout flare for your fourth problem of your possible gout flare let's go ahead i wan na just go ahead and order a uric acid just to see and it's something that we can talk about there is an alternative medication that you can take with your kidney function that that would n't hurt it that would n't injure it any further and i think it would work just the same

[ "Discussion", "Medication", "Diagnostic Testing", "Reassessment" ]

[ "Assessment", "Plan" ]

305

all right . and what are you taking ?

[ "Therapeutic History" ]

[ "Subjective" ]

306

it it's the the one of the antibodies in your body and that that really makes that your body makes to fight infections it's a little bit low i'm happy to explain it a little bit more to you i just have a few more questions okay so let's start again here

[ "Discussion" ]

[ "Plan" ]

307

okay ? so , andrew is a 62-year-old male with a past medical history significant for a kidney transplant , hypothyroidism , and arthritis , who presents today with complaints of joint pain . andrew , what's going on with your joint ? what happened ?

[ "Acute Symptoms", "Personal History" ]

[ "Subjective" ]

308

yeah i do n't think it's i do n't think so because it's it is the same part of her body that's moving every time that and she reports that it's somewhat of an there is an urge to blink her eye and some relief afterwards

[ "Discussion" ]

[ "Plan" ]

309

okay okay good and just a couple you know do you how do you have many or do you drink often do you have you know many any alcohol consumption

[ "Drug History" ]

[ "Subjective" ]

310

okay which knee was it

[ "Acute Symptoms" ]

[ "Subjective" ]

311

we've we've had some really good responses from other patients on it so hopefully i mean that should be a good solution for you since you've been having issues with this

[ "Discussion" ]

[ "Plan" ]

312

okay great

[ "Chitchat" ]

[ "Null" ]

313

yeah , your alt was about 128 .

[ "Personal History", "Lab Examination" ]

[ "Subjective", "Objective" ]

314

okay so you are positive for pain with flexion and extension of your back i'm going to go ahead and test the strength of your legs now push out against my hands for me please

[ "Physical Examination" ]

[ "Objective" ]

315

so severe right upper arm pain .

[ "Acute Symptoms" ]

[ "Subjective" ]

316

yeah and that can happen and one of those things that causes that is that those intake of that fatty foods which is you know kind of the the keystone or the hallmark of the keto diet and have you noticed any improvement when you do cut out that fatty food and has that been difficult since you are watching your carb intake

[ "Personal History" ]

[ "Subjective" ]

317

what kind of activities ?

[ "Acute Symptoms" ]

[ "Subjective" ]

318

alright and have you have you been able to stand on it or does that hurt too much

[ "Acute Symptoms" ]

[ "Subjective" ]

319

um , let's take a look in six months and then we'll go from there . sound like a plan ?

[ "Follow-up" ]

[ "Plan" ]

320

okay . good . and how about your bowel movements ; are they okay ?

[ "Vegetative History" ]

[ "Subjective" ]

321

your right knee okay and i know that it sounds like you were on a motor boat as you were you know water skiing but did you hear anything pop or feel anything pop when it happened

[ "Acute Symptoms" ]

[ "Subjective" ]

322

you're welcome so let me tell you a little bit about my assessment and plan for your first problem of asthma your symptoms are consistent with moderate intermittent asthma i'm gon na start you on flovent one hundred ten micrograms one puff twice per day that's gon na be important for you to be consistent with your inhaled steroid inhaler this is gon na help prevent those daily symptoms and from needing for you to use your albuterol inhaler or that rescue inhaler less frequently you can continue using your ventolin inhaler and that would be two puffs every four to six hours p.r.n . i'm also gon na put together an asthma action plan for you so we know what to do based on your symptoms i'd like to see you again in a month or sooner if you have any worsening symptoms does that sound okay

[ "Follow-up", "Medication", "Acute Assessment" ]

[ "Assessment", "Plan" ]

323

okay , that's fine . how about your eye exams ? are they up-to-date ?

[ "Personal History" ]

[ "Subjective" ]

324

okay and then tell me what have you taken for your pain

[ "Acute Symptoms", "Therapeutic History" ]

[ "Subjective" ]

325

there's no fever , your blood pressure and your heart rate look great , so that's , that's awesome .

[ "Physical Examination" ]

[ "Objective" ]

326

lay back on the stretcher for me for a second i'm gon na go ahead and and lift your legs for me or i'm gon na go ahead and lift your legs for you just relax i'm gon na start here on the right side when i lift that right leg up does that cause you significant pain or any pain at all

[ "Physical Examination" ]

[ "Objective" ]

327

alright

[ "Chitchat" ]

[ "Null" ]

328

okay did they give you any meds for that

[ "Therapeutic History" ]

[ "Subjective" ]

329

okay . and so your bentyl , that's the anti-spasm medication , and i would take the higher dose .

[ "Discussion", "Medication" ]

[ "Plan" ]

330

being down being down here in florida we got ta get get some golf in so hey did you see the masters by the way a few weeks ago was n't that i do n't know did you happen to catch it

[ "Other Socials" ]

[ "Subjective" ]

331

mm-hmm

[ "Physical Examination", "Other Socials" ]

[ "Subjective", "Objective" ]

332

okay alright so the cough started a week ago but you have have started feeling worse over the last two days correct

[ "Acute Symptoms" ]

[ "Subjective" ]

333

how long have you been getting a regular period ?

[ "Vegetative History" ]

[ "Subjective" ]

334

just you okay and what do you do for work

[ "Other Socials" ]

[ "Subjective" ]

335

and some hospital outcomes and what we might suggest to fix that out , i'll go over that . so one possible suspicion i'm having is it's called , um , aortic stenosis , and that just means that one of your main valves of your heart has narrowed a bit and the valve does n't really open , um , quite fully . and this could just reduce or block the blood flow from your heart into the main artery of your body , and that's called the aorta , into the rest of your body .

[ "Discussion", "Acute Assessment" ]

[ "Assessment", "Plan" ]

336

all right . please use my physical exam template . um , i wan na take a quick listen to her heart and lungs . i'll look in her ears too . and she can sit , she can just sit on your lap .

[ "Physical Examination" ]

[ "Objective" ]

337

okay , all right . well i'm glad that you talked about that with me today , um , i know the nurse did a review of systems sheet with you , and , you know , you're obviously endorsing this- this chest pressure . um , have you had any other symptoms , i know the- the other ones that you have n't had , but any lower extremity edema , or muscle aches , or fever chills ?

[ "Acute Symptoms", "Vegetative History" ]

[ "Subjective" ]

338

all right , well let's go ahead and we'll do a physical exam , okay ?

[ "Physical Examination" ]

[ "Objective" ]

339

any chest pain , shortness of breath , nausea , vomiting , dizzy- dizziness ?

[ "Vegetative History" ]

[ "Subjective" ]

340

okay . um , uh , hey , dragon ? show me the vital signs . okay , good news here is your blood pressure's good . everything , um , there is fine . so , um , so , my assessment is , is , um , your first problem is diabetes . it's a little out of control . we'd like that hemoglobin a1c to be under seven , um , at least . you know , preferably , under six .

[ "Physical Examination", "Discussion", "Reassessment" ]

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

341

okay ? hey , dragon , show me the labs . and here , looking at your lab results , you know , your white blood cell count is not elevated , which is good . you know , we get concerned about that in somebody who's immunocompromised .

[ "Lab Examination" ]

[ "Objective" ]

342

but you should be fine-

[ "Chitchat" ]

[ "Null" ]

343

mm-hmm

[ "Acute Symptoms" ]

[ "Subjective" ]

344

yeah , okay .

[ "Physical Examination" ]

[ "Objective" ]

345

and your last mammogram was in january 2021 ? and that was normal .

[ "Personal History" ]

[ "Subjective" ]

346

okay and what have you taken for the pain

[ "Acute Symptoms", "Therapeutic History" ]

[ "Subjective" ]

347

mm-hmm and they

[ "Acute Symptoms" ]

[ "Subjective" ]

348

we're gon na brace you we're gon na give you a brace

[ "Discussion", "Other Treatments" ]

[ "Plan" ]

349

eating well ? okay . do n't feel any concerns about hurting yourself or others or anything like that ?

[ "Vegetative History" ]

[ "Subjective" ]

350

yeah i bet that is sore now tell me this have you experienced any numbness in your arm or your hands or

[ "Vegetative History" ]

[ "Subjective" ]

351

it's good to see you too . so , i know the nurse told you about dax . i'd like to tell dax a little bit about you .

[ "Chitchat" ]

[ "Null" ]

352

okay . any nausea or vomiting , chest pains , shortness of breath ?

[ "Vegetative History" ]

[ "Subjective" ]

353

okay , yeah that lumbar fusion . um , let's take an x-ray . hey . or let's look at an x-ray . hey dragon , show me the latest x-ray . okay , we can see where you had your fusion , t4 here on the x-ray . but i do n't see anything that looks , um , significantly abnormal . it does n't appear to have any compression fractures or anything like that . so , it's essentially , except for the fusion , a normal exam . let me do your exam for you here . can i have you stand up please ? does it hurt when i twist you that way ?

[ "Physical Examination", "Radiology Examination" ]

[ "Objective" ]

354

it was hurting okay how long ago would you say that was

[ "Acute Symptoms" ]

[ "Subjective" ]

355

tell definitely tell him his doctor tell him i said it

[ "Discussion" ]

[ "Plan" ]

356

doctor: alright take care bye

[ "Chitchat" ]

[ "Null" ]

357

alright okay so i do feel the mass on the where to go here okay

[ "Physical Examination" ]

[ "Objective" ]

358

okay . and , uh , is it worse when you bend it ? or anything make it ... so , just wh-

[ "Acute Symptoms" ]

[ "Subjective" ]

359

okay and when you mention drinking and eating is do you feel like anything is getting stuck there

[ "Vegetative History" ]

[ "Subjective" ]

360

there are sorry yeah you're right there are risks associated with this kind of injection just like any procedure but we aim to minimize them and my ma when she comes in we will give you some paperwork with explanations and any and hopefully answer most of the questions that you have if after reading that you have any more questions please feel free to stop us we want to make sure that you feel as comfortable as possible during this time

[ "Discussion", "Medication" ]

[ "Plan" ]

361

okay yeah okay and so is the pain in your upper abdomen or where in your abdomen is it

[ "Acute Symptoms" ]

[ "Subjective" ]

362

okay alright now have you noticed any swelling in your legs

[ "Vegetative History" ]

[ "Subjective" ]

363

great . we'll get that set up for ya . all right , well i hope things , um , feel better , and we will see you back here in three months .

[ "Chitchat" ]

[ "Null" ]

364

because , um , if it was cancer , we'd actually , we would see some change .

[ "Discussion" ]

[ "Plan" ]

365

okay . and do you have the bra strap indentations in your shoulders ? um , i saw that you're wearing about a g cup .

[ "Personal History" ]

[ "Subjective" ]

366

gotcha . that is good to know . all right , well , let's go ahead and take a look .

[ "Therapeutic History" ]

[ "Subjective" ]

367

great . how about your breasts , are they doing all right ?

[ "Personal History" ]

[ "Subjective" ]

368

okay yeah that sounds like a good idea have you thought about even having a a cane just in case or do you think that's does that happen often enough

[ "Acute Symptoms", "Therapeutic History" ]

[ "Subjective" ]

369

i know . i know you had then , uh , when did you inject this time ?

[ "Therapeutic History" ]

[ "Subjective" ]

370

. chest pain ?

[ "Acute Symptoms", "Vegetative History" ]

[ "Subjective" ]

371

so less than a day .

[ "Acute Symptoms" ]

[ "Subjective" ]

372

okay alright so have you noticed any blood in any place or blood in your stools or are you vomiting anything up at all

[ "Vegetative History" ]

[ "Subjective" ]

373

okay alright well i hope you're not working too much and then you'll able to at least find some time with the family

[ "Other Socials" ]

[ "Subjective" ]

374

okay , what would you say your pain level is ?

[ "Acute Symptoms" ]

[ "Subjective" ]

375

okay okay so it's probably it do you think it's getting worse

[ "Acute Symptoms" ]

[ "Subjective" ]

376

okay excellent excellent and so right now you're on a combination of two different chemotherapies the cisplestan as well as the eupside and you had your last treatment just a few days ago but you're saying right now you've been able to tolerate the nausea and the fatigue

[ "Vegetative History" ]

[ "Subjective" ]

377

and before that , how are your bowel movements ?

[ "Personal History", "Vegetative History" ]

[ "Subjective" ]

378

okay . i see .

[ "Acute Symptoms", "Therapeutic History" ]

[ "Subjective" ]

379

good . all right . i'm going to take a look at your breast now . if you would just open up your gown for me . everything looks good .

[ "Physical Examination" ]

[ "Objective" ]

380

okay . that's great . and so , you're taking coumadin , right ?

[ "Therapeutic History" ]

[ "Subjective" ]

381

okay . range of motion is decreased in right hip with pain in the groin and internal and external rotation . okay , go ahead and keep it up , do n't let me push it down . does that hurt ?

[ "Physical Examination" ]

[ "Objective" ]

382

okay . all right . and how are you doing with your reflux ?

[ "Personal History" ]

[ "Subjective" ]

383

okay and are you having pain all the time or just or does it come and go

[ "Acute Symptoms" ]

[ "Subjective" ]

384

okay okay how do you like working from home

[ "Other Socials" ]

[ "Subjective" ]

385

and it should get better , uh , in about , you know , in a couple of days it should be improved . and if it does n't get better , give us a call and we'll see you some time next week . okay ? so we'll give you a sling , we'll give you the motrin , i'll give you about , uh , 30 , uh , uh , 30 , uh , uh , medications for that . uh , do you have any questions ?

[ "Discussion", "Follow-up" ]

[ "Plan" ]

386

okay , no pain going down your legs or anything like that ?

[ "Personal History" ]

[ "Subjective" ]

387

okay . it does look like you've had a decent number of sh- , uh , surgeries here , ?

[ "Personal History" ]

[ "Subjective" ]

388

okay let's talk about the asthma first so what inhaler are you using now

[ "Therapeutic History" ]

[ "Subjective" ]

389

okay . is , is one knee worse than the other ?

[ "Acute Symptoms" ]

[ "Subjective" ]

390

okay so you do have some numbing and tingling but it's not new

[ "Personal History" ]

[ "Subjective" ]

391

all right . and , um , is there is pain or , or just tingling and numbness ?

[ "Acute Symptoms" ]

[ "Subjective" ]

392

all right . anything else i can do for you today ?

[ "Discussion" ]

[ "Plan" ]

393

hey dad how are you doing

[ "Acute Symptoms" ]

[ "Subjective" ]

394

alright good well i had a chance to look at your mri

[ "Radiology Examination" ]

[ "Objective" ]

395

yeah , okay . so , um , tell me about how many wet diapers she has in a 24 hour period ?

[ "Personal History" ]

[ "Subjective" ]

396

yes great i i i'm so happy when my patients are compliant most of the times they do n't take it as as often but i'm i'm really excited for that what have your blood pressures been running i think today

[ "Personal History" ]

[ "Subjective" ]

397

okay okay and i know the metformin is a we started you on a lower dose it's the five hundred milligrams it's a new medication for you you've been tolerating it okay

[ "Therapeutic History" ]

[ "Subjective" ]

398

now as far as your breathing , i observed the pursed lip breathing and your exhalation is low . i think you should do a pulmonary function test to further evaluate , and i'll order that as well . now the nodule in your right testicle should be evaluated by urology , and we will place that referral today , also .

[ "Diagnostic Testing", "Referral" ]

[ "Plan" ]

399