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med_intent_classification

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yep , right here .
[ "Other Socials" ]
[ "Subjective" ]
3,500
um , and going upstairs or downstairs , does that bother you at all ?
[ "Acute Symptoms" ]
[ "Subjective" ]
3,501
you're welcome . and in your case , you'll probably be a small c. um , a b cup might be a little bit small , but we'll see once i'm doing the , the procedure for you .
[ "Discussion", "Other Treatments" ]
[ "Plan" ]
3,502
okay , yeah , maybe you have .
[ "Discussion", "Medication" ]
[ "Plan" ]
3,503
okay alright now have you had strep throat in the past
[ "Personal History" ]
[ "Subjective" ]
3,504
do you have any questions ?
[ "Discussion" ]
[ "Plan" ]
3,505
alright scott so so i understand that you you had some right knee injury can you tell me a little bit about what happened
[ "Acute Symptoms", "Greetings" ]
[ "Subjective" ]
3,506
okay . all right . and was it any particular area in your back ? was it the lower back ?
[ "Acute Symptoms" ]
[ "Subjective" ]
3,507
what if you move back a little bit ?
[ "Physical Examination" ]
[ "Objective" ]
3,508
all right . any other pain down here in your calves ?
[ "Physical Examination" ]
[ "Objective" ]
3,509
okay . and then i know you had the cataract surgery about three months ago , your vision is okay ?
[ "Personal History" ]
[ "Subjective" ]
3,510
doctor: and we'll do a follow-up in four months with act and spirometry , sooner if needed . follow-up 25 minutes .
[ "Follow-up" ]
[ "Plan" ]
3,511
if i bend it this way up does it hurt it's your left does that hurt
[ "Physical Examination" ]
[ "Objective" ]
3,512
okay . and at this time , are you experiencing any numbness or tingling in the s- in the hands or any nipple pain ?
[ "Personal History" ]
[ "Subjective" ]
3,513
okay . all right . well , i know you did the review of systems sheet when you checked in , and you were endorsing this fatigue-
[ "Acute Symptoms", "Vegetative History" ]
[ "Subjective" ]
3,514
okay . hey dragon , order a zoloft 50 milligrams daily . we'll get that refilled for you . okay ? so , um , i'd like to see you back in about a month , an- and then in about , uh , three months
[ "Follow-up", "Medication" ]
[ "Plan" ]
3,515
you look pretty healthy
[ "Acute Symptoms" ]
[ "Subjective" ]
3,516
you're throwing up in the morning ?
[ "Vegetative History" ]
[ "Subjective" ]
3,517
okay . so , you're here today for your yearly exam . have n't seen you in a year . how're you doing ?
[ "Personal History" ]
[ "Subjective" ]
3,518
and then if you ... if it's still painful , you can use , uh , ice or , um , heat pad-
[ "Discussion", "Medication" ]
[ "Plan" ]
3,519
okay . and , um , how are you feeling since then ?
[ "Acute Symptoms" ]
[ "Subjective" ]
3,520
okay . all right . all right . and , um , you know , i know that you had had the , uh , knee surgery-
[ "Personal History" ]
[ "Subjective" ]
3,521
yeah , absolutely .
[ "Chitchat" ]
[ "Null" ]
3,522
okay and have you had any congestion anything like that cough runny nose
[ "Vegetative History" ]
[ "Subjective" ]
3,523
that's so wonderful ! now have you had any headaches or pain where the shunt is ?
[ "Personal History" ]
[ "Subjective" ]
3,524
now you have you had any fever or chills with this
[ "Vegetative History" ]
[ "Subjective" ]
3,525
okay . so , no , no issues , no feelings of wanting to harm yourself or hurt others ?
[ "Personal History" ]
[ "Subjective" ]
3,526
well , there are many reasons why people can have an elevated liver enzymes and also enlarged liver . some possible causes are certain medications that can be toxic to liver , alcohol abuse , fatty liver disease , hepatitis , cirrhosis , and other liver diseases like wilson's disease .
[ "Discussion", "Drug History" ]
[ "Plan" ]
3,527
okay . and , um , have you personally had any skin spots in the past that you got checked out and they were cancerous or precancerous ?
[ "Personal History" ]
[ "Subjective" ]
3,528
okay alright and tell me what have you been doing for that foot pain since then
[ "Acute Symptoms", "Therapeutic History" ]
[ "Subjective" ]
3,529
doctor: for assessment and plan , perioral dermatitis , rosacea , including ocular rosacea , and copy and paste her patient instructions . i recommend that she gently wash her eyelids once a day with gentle cleanser such as vanicream , also use bruder mask as needed .
[ "Acute Assessment", "Medication" ]
[ "Assessment", "Plan" ]
3,530
got it how long do these episodes last these pain
[ "Acute Symptoms" ]
[ "Subjective" ]
3,531
does that sound good ?
[ "Discussion" ]
[ "Plan" ]
3,532
okay so that's good we i think we'll we will follow up with that mri but let's go ahead and take a do a quick physical exam here i reviewed your vitals that the the assistant collected when you came in and everything there looks good including your blood pressure you know with symptoms like that that's one of those things that i'd be concerned about
[ "Physical Examination" ]
[ "Objective" ]
3,533
okay so looking at your ankle and your right ankle exam on the skin there is ecchymosis so you have that bruising which you can see of the lateral
[ "Physical Examination" ]
[ "Objective" ]
3,534
okay alright well you you made dad happy at least right
[ "Chitchat" ]
[ "Null" ]
3,535
what do you do for work ?
[ "Other Socials" ]
[ "Subjective" ]
3,536
okay . left shoulder and elbow , tender sa space , no warmth , erythema or deformity . positive hawkins-kennedy and neer's test . normal proximal and distar , distal upper extremity strength . intact median radial ulnar sensation and abduction to 90 degrees . normal empty tan , can test . okay , mr . james , w-what i think you are dealing with is impingement syndrome of your left shoulder . i do n't think there's an additional injury or issue with your wrist , but because everything is connected , you're experiencing pain in your wrist because of your shoulder . we do see this type of issue when someone has a fall , so it's good you came to see us , you came in to see us so we could help .
[ "Physical Examination", "Acute Assessment" ]
[ "Objective", "Assessment" ]
3,537
okay , little bit . and then back one , probably bothers you ?
[ "Physical Examination" ]
[ "Objective" ]
3,538
hey , dragon ? show me the creatinine . so we ... we drew a creatinine when you came in here because i was concerned about the kidney stones . it ... it is uh ... it is up slightly , which might suggest that you have a little bit of a obstruction there of one-
[ "Lab Examination" ]
[ "Objective" ]
3,539
okay and then when you got in the car accident did you end up going to the emergency room
[ "Personal History" ]
[ "Subjective" ]
3,540
alright so and your anything else bothering you today
[ "Acute Symptoms" ]
[ "Subjective" ]
3,541
hey , dragon , show me the blood pressure . so , yeah , looking at your blood pressure today here in the office , it is a little elevated . you know , it could just , you could just be nervous . uh , let's look at some of the past readings . hey , dragon , show me the blood pressure readings . hey , dragon , show me the blood pressure readings . here we go . uh , so they are running on the higher side . um , y- you know , i , i do think that , you know , i'd like to see you take your medication a little bit more , so that we can get that under control a little bit better , okay ?
[ "Physical Examination", "Medication" ]
[ "Objective", "Plan" ]
3,542
okay and then when you walked in on your gait i think i think i did appreciate a slight limp are you i i i i think you are you are protecting one of your knees does that sound familiar
[ "Physical Examination" ]
[ "Objective" ]
3,543
okay so we will check you for that today and see how you're doing with that and then we will give you those results okay any questions about that
[ "Discussion" ]
[ "Plan" ]
3,544
okay and then how severe is the pain on a scale of like one to ten
[ "Acute Symptoms" ]
[ "Subjective" ]
3,545
i'm sorry to hear that . and- and what did you do about the second dose ?
[ "Therapeutic History" ]
[ "Subjective" ]
3,546
okay . maria martin , date of birth 03/05/1946 , has been informed and consents to have this visit recorded . the patient is here for follow-up . hi , maria . how have you been doing ?
[ "Greetings" ]
[ "Subjective" ]
3,547
mm-hmm
[ "Personal History" ]
[ "Subjective" ]
3,548
okay . great . so , let's take a look at , uh , the x-ray of your arm . hey dragon , let's see the x-ray . okay , looking at your x-ray , i do n't see any fractures , uh , do n't really see any abnormalities at all . it looks essentially normal . great . let me examine you .
[ "Radiology Examination" ]
[ "Objective" ]
3,549
okay the nurse will be in soon , she'll get you checked out , okay ?
[ "Chitchat" ]
[ "Null" ]
3,550
okay . just when swimming ? are you swimming freestyle with your legs kicking straight or more like breaststroke where your legs kick out ?
[ "Acute Symptoms" ]
[ "Subjective" ]
3,551
okay , i'm going to go out and review the ct scan you had last month , and then we'll chat about it when i come in . all righty , mr . watson , so you definitely have made some improvements since the shunt surgery . now on ct scan though i do believe i see a tiny bit of blood fluid collection in the right parietal region . now , i do n't believe that that's causing any symptoms , and i , it actually was n't documented by the radiologist when he read the ct scan .
[ "Radiology Examination" ]
[ "Objective" ]
3,552
yeah i be i bet i bet i i hurt my knee before too and it's it's pretty painful on a scale of one to ten what would you say your your pain level is
[ "Acute Symptoms" ]
[ "Subjective" ]
3,553
hey dragon , i'm seeing mrs. lee today for , uh , back pain . she's a 40-year-old female . so can you tell me what happened to you ?
[ "Acute Symptoms" ]
[ "Subjective" ]
3,554
i also wan na repeat another echocardiogram , okay ?
[ "Diagnostic Testing" ]
[ "Plan" ]
3,555
okay and then have you been able to afford your medications and are you taking them like your like you were prescribed
[ "Therapeutic History" ]
[ "Subjective" ]
3,556
all right . so , natalie is a 39-year-old female , here today for a check-up for an abnormal lab . she's got a history of high blood pressure , diabetes , and acl repair . so , tell me what's going on .
[ "Acute Symptoms", "Personal History" ]
[ "Subjective" ]
3,557
so let's just look at those . hey , dragon , show me the pulmonary function tests . okay , so it looks like ... , it's interesting . it says that you might be having a little bit of asthma or , uh , copd . and if you are , we'll talk about that .
[ "Physical Examination" ]
[ "Objective" ]
3,558
okay alright and so when exactly did this happen
[ "Acute Symptoms" ]
[ "Subjective" ]
3,559
okay alright and are you having any chest pain or tightness in your chest or anything like that or not really
[ "Acute Symptoms" ]
[ "Subjective" ]
3,560
have you had the vaccine ?
[ "Therapeutic History" ]
[ "Subjective" ]
3,561
all right-y . then- then what happened ?
[ "Personal History" ]
[ "Subjective" ]
3,562
well that's great .
[ "Chitchat" ]
[ "Null" ]
3,563
okay okay let's talk about some other symptoms any joint pain fever weight loss
[ "Acute Symptoms" ]
[ "Subjective" ]
3,564
um , you probably ca n't do it today , but let me talk with roy and see how soon we can get it done . just give me a quick minute , and then roy will come in and get things scheduled as soon as we can .
[ "Chitchat" ]
[ "Null" ]
3,565
okay . let's go ahead . i want to move on to a physical exam .
[ "Physical Examination" ]
[ "Objective" ]
3,566
okay what about when you're you're taking liquids are you able to take in both hydrocort liquids
[ "Vegetative History" ]
[ "Subjective" ]
3,567
all right . and i'll cancel the elidel cream , just so we do n't complicate your list . uh , you have plenty of the face wash still .
[ "Discussion", "Medication" ]
[ "Plan" ]
3,568
as far as your high blood pressure , not going to change anything there . okay ? we'll just leave you on your lisinopril 5 milligrams a day , that's good .
[ "Reassessment", "Medication" ]
[ "Assessment", "Plan" ]
3,569
wow what happened what did they do
[ "Personal History" ]
[ "Subjective" ]
3,570
wow okay so which wrist are we talking about left or right
[ "Acute Symptoms" ]
[ "Subjective" ]
3,571
okay . all right . okay , well , let's , let's go ahead and we'll do a quick physical exam . so , looking at you , you're in , in no apparent distress . i'm feeling your neck . there's no cervical lymphadenopathy . your thyroid seems not enlarged . and , listening to your lungs , you do have some bilateral expiratory wheezing that's very faint , and your heart is a regular rate and rhythm . your abdomen is soft , and uh , your lower extremities have no edema . so , let's go ahead and look at some of your results . hey , dragon , show me the pfts . okay , so your , your pfts , that , those are your breathing studies , and those look quite good , so i know that you're wheezing right now , but , um , you know , i think that we can add , add , um , a regimen to that to help , to help you with your , um , exacerbations during the , the summer months , okay ?
[ "Physical Examination", "Lab Examination" ]
[ "Objective" ]
3,572
okay okay i just have to ask alright so i do wan na do a quick physical exam i did review your vitals and like part of why i wan na know about your smoking history is that you are stating kind of low like it looks like you are might be in the ninety five percentile range and so we might need to explore some things
[ "Physical Examination", "Drug History" ]
[ "Objective" ]
3,573
okay , so i'm gon na , you know , the nurse is gon na come in , and she's gon na check you out , and then we'll make a follow-up appointment for you , okay ?
[ "Discussion", "Follow-up" ]
[ "Plan" ]
3,574
it's hard to ignore those desserts , are n't they ?
[ "Chitchat" ]
[ "Null" ]
3,575
does it hurt when i press on your arm here ?
[ "Physical Examination" ]
[ "Objective" ]
3,576
okay . and what have you taken for the pain ?
[ "Acute Symptoms", "Therapeutic History" ]
[ "Subjective" ]
3,577
okay so we're gon na get you a surgical shoe and i want you to to wear that and that can help you take pressure off the area because i know you said you're gon na walk around with this zoo this this weekend so i definitely do n't want you to put much pressure on it from now on and hopefully that can help it heal and so after all that i'm just gon na see you back in two weeks and we could take another look and possible do another debridement of the ulcer so do you have any questions for me
[ "Discussion", "Follow-up", "Other Treatments" ]
[ "Plan" ]
3,578
okay alright so i've reviewed the results your right foot x-ray that we did before you i came in the room and this shows no evidence of osteomyelitis which means there is no evidence of bone infection so that's really good so let me tell you a little about my assessment and plan for you so for your first problem your diabetic foot ulcer so i want to order an ankle brachial index abi to determine the blood supply to your foot to see if you can heal this wound i'm also gon na perform a debridement here in the office to take off some of the dead tissue and then next i'm going to prescribe a collagenase ointment to be applied to the wound once daily and then cover with a dry sterile dressing now we will continue this until we see the wound shrinking and a nice pink tissue is present and i want you to wear a surgical shoe to take pressure off of the area okay so i do n't think any more antibiotics are needed at this time and i want to see you again in two weeks so we may need to refer you to a vascular specialist if the abi indicates your blood supply is not optimal for wound healing okay
[ "Follow-up", "Medication", "Other Treatments", "Radiology Examination", "Acute Assessment" ]
[ "Objective", "Assessment", "Plan" ]
3,579
okay have you done anything to try to get it to feel better any soaks or taking any medicine
[ "Therapeutic History" ]
[ "Subjective" ]
3,580
okay . so , i feel like i have a good grasp of what's been going on with you now . and you're here today to establish care with me so i can continue to follow you and make sure you're doing well , right ?
[ "Acute Symptoms" ]
[ "Subjective" ]
3,581
good . and , since they do n't have covid-19 , you can go right ahead and check out .
[ "Chitchat" ]
[ "Null" ]
3,582
um , do you have any symptoms . chest pain , shortness of breath , belly pain-
[ "Acute Symptoms" ]
[ "Subjective" ]
3,583
okay alright so we talked a little bit about your diabetes let's talk about your heart disease now your heart disease you had a heart attack in twenty eighteen we put a stent into your right coronary artery you're still taking your medications for that you're still on your aspirin
[ "Therapeutic History", "Personal History" ]
[ "Subjective" ]
3,584
okay and any other orthopedic injuries in the past have you ever injured that shoulder before as far as you know
[ "Personal History" ]
[ "Subjective" ]
3,585
okay . if you have questions or concerns before your next visit , please call the office .
[ "Discussion", "Follow-up" ]
[ "Plan" ]
3,586
so like normal 8 to 10 , or like 20 ?
[ "Personal History" ]
[ "Subjective" ]
3,587
okay how about any abdominal infections
[ "Personal History" ]
[ "Subjective" ]
3,588
doctor: hey , dragon , finalize the note .
[ "Chitchat" ]
[ "Null" ]
3,589
doctor: no problem
[ "Chitchat" ]
[ "Null" ]
3,590
. so that's stable .
[ "Physical Examination" ]
[ "Objective" ]
3,591
no there's no judgment here whatsoever i want to make sure that i'm giving you the best advise possible and in order to do that i need the most information that you can provide me makes sense
[ "Chitchat" ]
[ "Null" ]
3,592
okay . all right . well , let's go ahead . i want to do a quick physical exam on you .
[ "Physical Examination" ]
[ "Objective" ]
3,593
okay . um . yes , i see that in your chart . the benicar hct . it has hydrochlorothiazide in it .
[ "Therapeutic History" ]
[ "Subjective" ]
3,594
on your neck exam i i do appreciate some bony protuberance of the c5 c6 do you have any pain when i touch here
[ "Physical Examination" ]
[ "Objective" ]
3,595
hi alan , how are you ?
[ "Greetings" ]
[ "Subjective" ]
3,596
nausea ? vomiting ?
[ "Acute Symptoms", "Vegetative History" ]
[ "Subjective" ]
3,597
okay so so far have you taken anything for the pain
[ "Acute Symptoms", "Therapeutic History" ]
[ "Subjective" ]
3,598
alright and tell me exactly what happened
[ "Acute Symptoms", "Therapeutic History" ]
[ "Subjective" ]
3,599