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[Other Socials][Doctor] okay and for you too were you on vacation last week and a lot of people had vacation last week [Patient] yes i was on vacation last week actually[SEP][Other Socials][Doctor] okay hopefully you were n't sick for too much of it [Patient] no i was feeling okay[SEP][Other Socials][Doctor] okay okay ... | [
"Physical Examination"
] | [
"Objective"
] | 100 |
[Personal History][Doctor] so health wise , how is everything going ? [Patient] good , the testosterone's going well .[SEP][Personal History][Vegetative History][Doctor] that's great . [Patient] uh , it helped me out . i feel good , more vigorous , sleeping well and i think it's having some positive effects . not so mu... | [
"Physical Examination"
] | [
"Objective"
] | 101 |
[Chitchat][Doctor] right i want you you can talk about those things yes [Patient] okay[SEP][Acute Symptoms][Personal History][Doctor] okay so with your newly diagnosed ovarian cancer so how are you feeling today how are you doing [Patient] i'm doing pretty good depressed[SEP][Acute Symptoms][Doctor] little depressed i ... | [
"Other Socials"
] | [
"Subjective"
] | 102 |
[Acute Symptoms][Doctor] okay and you said this happened yesterday correct [Patient] yeah[SEP][Acute Symptoms][Doctor] okay and have you been able to walk on it at all [Patient] no i was so initially when i first fell i was unable to walk at on it at all i had a friend that was visiting and so she heard me fall so she ... | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | 103 |
[Chitchat][Doctor] it's good to see you as well . are you ready to get started ? [Patient] yes , i am .[SEP][Acute Symptoms][Doctor] louis is a 58-year-old male here for follow up from an emergency room visit . so , louis , what happened ? [Patient] yeah . i was playing tennis on saturday . it was really , really hot t... | [
"Personal History"
] | [
"Subjective"
] | 104 |
[Discussion][Doctor] okay . i , i do n't want you lifting greater than five or 10 pounds , and no standing or sitting longer than a half an hour . uh , usually that means you ca n't do a ups job . [Patient] all right . so would you write a note to excuse me for another six weeks ?[SEP][Discussion][Doctor] sure . i'll h... | [
"Discussion"
] | [
"Plan"
] | 105 |
[Personal History][Doctor] and that was before we started the progesterone . [Patient] yes .[SEP][Personal History][Doctor] so i know we started it for regulating your periods , but perhaps it helped with this also . [Patient] yeah . and before , in november and december , i noticed that the week before my period , my ... | [
"Personal History"
] | [
"Subjective"
] | 106 |
[Conversation Start][SEP][Greetings][Doctor] good morning carolyn how are you [Patient] i'm doing alright other than this ankle pain i've been having[SEP][Acute Symptoms][Doctor] so i see here that you hurt your right ankle can you tell me what happened [Patient] yeah so yesterday i was going to take out the trash and ... | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | 107 |
[Conversation Start][SEP][Greetings][Doctor] hi , hannah . how are you ? [Patient] good , how are you ?[SEP][Chitchat][Doctor] i'm good . you ready to get started ? [Patient] yes , i am .[SEP][Personal History][Doctor] so , hannah is a , uh , 52-year-old female here for evaluation of a high blood sugar . so , hannah , ... | [
"Vegetative History"
] | [
"Subjective"
] | 108 |
[Conversation Start][SEP][Personal History][Greetings][Doctor] judy gomez , mrn 869723 . date of birth , 5 , 7 , 1961 . she's in office today for ongoing management of psoriatic arthritis . hello , judy , how are you doing today ? [Patient] i'm doing good , thank you . how are you ?[SEP][Personal History][Therapeutic H... | [
"Therapeutic History"
] | [
"Subjective"
] | 109 |
[Acute Symptoms][Doctor] okay . on one side versus the other ? [Patient] um , kind of both equally .[SEP][Acute Symptoms][Doctor] okay . all right . and any numbing or tingling in your legs or your feet ? [Patient] no , i have n't felt anything like that .[SEP][Vegetative History][Doctor] okay . any weakness in your lo... | [
"Vegetative History"
] | [
"Subjective"
] | 110 |
[Chitchat][Doctor] alright [Patient] yeah[SEP][Vegetative History][Doctor] unloving the spectrum that we have right here let's see if we can dig down and get some details well a couple of things i wan na ask have you been a bit more tired than lately [Patient] no not recall[SEP][Vegetative History][Doctor] alright how ... | [
"Other Socials"
] | [
"Subjective"
] | 111 |
[Therapeutic History][Doctor] and you're still taking the keppra ? [Patient] yes , i am .[SEP][Personal History][Doctor] okay , great . and then , tell me a little about your depression . how're you doing with that ? i know that you went into therapy last year , and you tried to avoid medication since you're already on... | [
"Acute Symptoms"
] | [
"Subjective"
] | 112 |
[Acute Symptoms][Doctor] okay , and any problems breathing ? do you feel short of breath ? [Patient] uh , just when i'm doing doing the projects . again , not even lifting anything really heavy , it's just that if i'm ex- exerting any energy , i , i kinda feel it at that point .[SEP][Acute Symptoms][Doctor] okay . do y... | [
"Chitchat"
] | [
"Null"
] | 113 |
[Conversation Start][SEP][Personal History][Greetings][Therapeutic History][Doctor] next patient is emily hernandez . date of birth , march 26 2001 . this is a 20 year old female being seen today for our yearly follow-up for asthma , allergic rhinitis and food allergy . due to insurance changes since our last office ap... | [
"Therapeutic History"
] | [
"Subjective"
] | 114 |
[Personal History][Doctor] and any additional weakness ? i know you were having some issues with your right leg , but that seems to have improved or ? [Patient] yes a lingering issue with my knee surgery . but other than that it's been fine .[SEP][Physical Examination][Doctor] okay . all right , well i know you did a r... | [
"Physical Examination"
] | [
"Objective"
] | 115 |
[Conversation Start][SEP] | [
"Greetings"
] | [
"Subjective"
] | 116 |
[Discussion][Medication][Doctor] it's called a calcineurin inhibitor . it's kinda like a steroid in that it calms inflammation . [Patient] okay .[SEP][Discussion][Medication][Doctor] but it's not a steroid , so do n't use steroids on your face , for sure , as they'll make this kind of rash worse . but also , steroids c... | [
"Discussion",
"Medication"
] | [
"Plan"
] | 117 |
[Therapeutic History][Personal History][Doctor] okay are you still taking your medication because i see you're on twenty milligrams of lisinopril [Patient] yeah most days i remember[SEP][Physical Examination][Personal History][Doctor] okay ra i'm not suspicious but we're just gon na go with that okay because looking at... | [
"Therapeutic History"
] | [
"Subjective"
] | 118 |
[Acute Symptoms][Greetings][Doctor] so sophia i see that you you hurt your knee tell me about what happened [Patient] yeah i was jumping on my kid's trampoline and i could just slipped out from under me[SEP][Chitchat][Doctor] my gosh one of those big trampolines in your back yard [Patient] yeah a pretty big one[SEP][Ac... | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | 119 |
[Therapeutic History][Doctor] understood . okay . are you taking your medications regularly ? [Patient] uh- . i've been trying to keep up with that . there's a lot of extra pills now , but i have a reminder app , so i do pretty well .[SEP][Therapeutic History][Doctor] okay . that's great . and so , you're taking coumad... | [
"Physical Examination"
] | [
"Objective"
] | 120 |
[Personal History][Therapeutic History][Doctor] okay okay great yeah you've learned a lot about it and and the treatments including the the term analgesic and all of that that's pretty impressive you've been you've been through the ringer i think with with those so okay and so you're taking excedrin when you get a migr... | [
"Physical Examination"
] | [
"Objective"
] | 121 |
[Personal History][Therapeutic History][Doctor] do you take any medications for it ? [Patient] um , ep- ... just an epipen .[SEP][Personal History][Doctor] just epipen for anaphylaxis when you need it . um , and what surgeries have you had before ? [Patient] yeah , so carotid . yeah-[SEP][Personal History][Physical Exa... | [
"Physical Examination"
] | [
"Objective"
] | 122 |
[Conversation Start][SEP][Personal History][Greetings][Doctor] stephanie morales , medical record number 113322 . 44-year-old female that presents today six weeks status post right medial unicompartmental arthroplasty . hello ! [Patient] hi , how are you doing ?[SEP] | [
"Chitchat"
] | [
"Null"
] | 123 |
[Discussion][Medication][Doctor] uh , but i would pickup the elidel too . [Patient] okay , i can do that .[SEP][Discussion][Medication][Doctor] i mean , out of known risks associated with medications , topicals are usually safer and preferable to oral medications . with that being said , doxycycline is low risk . [Pati... | [
"Discussion",
"Medication"
] | [
"Plan"
] | 124 |
[Chitchat][Doctor] okay have you broke up with him already or [Patient] no i did n't know that knee injury was a reason to but now that you've told me maybe we should talk about that[SEP][Chitchat][Doctor] we'll talk about that later too [Patient] okay[SEP][Physical Examination][Doctor] alright so let's take a let's ta... | [
"Physical Examination"
] | [
"Objective"
] | 125 |
[Personal History][Doctor] okay and what do you mean by bigger pieces of food like what's your diet like [Patient] well things have been stressed over the last couple of months so lacks a moving from the west coast of east coast so i've been drinking more eating things like pizza burgers i know it's not good but you kn... | [
"Vegetative History"
] | [
"Subjective"
] | 126 |
[Vegetative History][Doctor] okay . all right . um , now , have you had ... have you noticed any blood in your stools at all ? [Patient] uh , no , not really . not , not at this time .[SEP][Vegetative History][Doctor] okay . and are your stools , like , dark or charry or black looking ? [Patient] no . not that i've not... | [
"Drug History"
] | [
"Subjective"
] | 127 |
[Other Socials][Doctor] okay alright i just wan na get like a few more details do you like work out regularly was this for fun or for like an exercise class [Patient] no it's just for fun[SEP][Other Socials][Doctor] okay and do you have like a regular exercise regimen at all [Patient] try to not consistent with it[SEP]... | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | 128 |
[Acute Symptoms][Drug History][Doctor] yeah , so ibs is one of those things where you are very sensitive to certain things such as spicy foods or fatty foods and alcohol . and this can cause lower belly stuff like cramps , or you can get upper belly stuff such as nausea . [Patient] i've been getting both .[SEP][Acute S... | [
"Acute Symptoms"
] | [
"Subjective"
] | 129 |
[Chitchat][Doctor] it's pretty bad [Patient] okay[SEP][Chitchat][Doctor] we'll get we'll get to that too [Patient] okay[SEP][Radiology Examination][Doctor] so did you already have x-rays of this knee today [Patient] yes[SEP][Chitchat][Doctor] okay do i go into that to [Patient] yeah[SEP][Radiology Examination][Doctor] ... | [
"Acute Assessment",
"Radiology Examination"
] | [
"Assessment",
"Objective"
] | 130 |
[Vegetative History][Doctor] okay i'm sorry i've never talked to you about that in the past i that's my fault so yeah so you wan na make sure you stay away from things like bananas oranges you know potatoes have lots of potassium that type of thing and so you know because with your kidney function you know that can cau... | [
"Chitchat"
] | [
"Null"
] | 131 |
[Discussion][Doctor] they are going to be free ninety nine because your mom is paying for them [Patient] okay that's that's good to know[SEP][Discussion][Diagnostic Testing][Doctor] i would prefer you to get them done as soon as possible so when you walk out of this room there is a a blood lab right next door i need yo... | [
"Discussion"
] | [
"Plan"
] | 132 |
[Acute Symptoms][Doctor] okay . and when- when did this happen ? [Patient] this was just yesterday .[SEP][Acute Symptoms][Therapeutic History][Doctor] all right . and have you tried anything for it ? i mean ... [Patient] i put ice on it . and i've been taking ibuprofen , but it still hurts at lot .[SEP][Acute Symptoms]... | [
"Personal History",
"Therapeutic History"
] | [
"Subjective"
] | 133 |
[Physical Examination][Doctor] yeah i can do that but i do wan na just do a physical exam on you okay so and looking here at your vital signs here you know your your vital signs look quite good you know your blood pressure is what right where it should be it's about one twenty seven over eighty which is great so you're... | [
"Referral",
"Reassessment"
] | [
"Assessment",
"Plan"
] | 134 |
[Conversation Start][SEP] | [
"Greetings"
] | [
"Subjective"
] | 135 |
[Acute Symptoms][Therapeutic History][Doctor] okay very good alright and then you said you were you've taken some tylenol for that and you said it did help a little bit or did n't sorry [Patient] it does help[SEP][Therapeutic History][Doctor] it does help good very good so how often are you taking your your medication ... | [
"Other Socials"
] | [
"Subjective"
] | 136 |
[Conversation Start][SEP] | [
"Personal History",
"Greetings"
] | [
"Subjective"
] | 137 |
[Personal History][Doctor] okay so right now you're experiencing right leg pain but you have injured your your left leg before is that what i'm hearing [Patient] yeah that's fine[SEP][Acute Symptoms][Doctor] alright were you able to continue playing [Patient] no i had to stop i actually it was like i had to be held fro... | [
"Acute Symptoms"
] | [
"Subjective"
] | 138 |
[Conversation Start][SEP][Greetings][Doctor] alright good morning Julie how are you doing today [Patient] i'm doing okay i'm just a little nervous about what's been going on with my headaches[SEP][Personal History][Doctor] okay so i know you were sent here by your your pcp what was your understanding of why you were se... | [
"Personal History"
] | [
"Subjective"
] | 139 |
[Personal History][Doctor] yeah , this is much better . [Patient] okay , great . and then it dropped in january , and then it dropped a little more in march , since i stopped taking the medicine in december .[SEP][Discussion][Doctor] okay , that's good . so ... i'm proud of you with the course of your labs , so before ... | [
"Discussion"
] | [
"Plan"
] | 140 |
[Conversation Start][SEP][Greetings][Doctor] elizabeth , how are you ? [Patient] i'm doing okay . how are you ?[SEP] | [
"Chitchat"
] | [
"Null"
] | 141 |
[Other Socials][Doctor] what kind of work do you do [Patient] i do yard work[SEP][Chitchat][Doctor] yard work [Patient] landscaping landscaping[SEP][Personal History][Other Socials][Doctor] landscaping okay so a lot of raking a lot of digging so a lot of repetitive type movements [Patient] yeah it's pretty heavy labor ... | [
"Acute Symptoms"
] | [
"Subjective"
] | 142 |
[Acute Symptoms][Doctor] okay , and have you noticed , is his mucous clear right now ? [Patient Guest] it is , it is right now , yes .[SEP][Acute Symptoms][Vegetative History][Doctor] okay . and , does he also have a cough ? [Patient Guest] yes , but it's not barky .[SEP][Acute Symptoms][Vegetative History][Doctor] and... | [
"Acute Symptoms",
"Vegetative History"
] | [
"Subjective"
] | 143 |
[Conversation Start][SEP][Greetings][Doctor] next patient is christine hernandez , uh , date of birth is january 13th , 1982 . hey , miss christine , how are you doing today ? [Patient] i'm good , thanks . how are you ?[SEP][Therapeutic History][Doctor] i'm pretty good . so it looks like you've completed the covid vacc... | [
"Therapeutic History",
"Other Socials"
] | [
"Subjective"
] | 144 |
[Vegetative History][Doctor] wow okay are you having any headaches [Patient] of course[SEP][Vegetative History][Doctor] any dizziness [Patient] just sometimes[SEP][Vegetative History][Doctor] any visual disturbances is it hard to like are you [Patient] not recently no[SEP][Vegetative History][Doctor] okay alright any n... | [
"Vegetative History"
] | [
"Subjective"
] | 145 |
[Other Socials][Doctor] okay so the remodel tell me a little bit about that my wife and i were working on our remodel and we went they just built the brand-new lowe's here in town have you guys been there yet [Patient] no we have not[SEP][Chitchat][Doctor] well i did n't know if you know this or not but you can save bi... | [
"Follow-up"
] | [
"Plan"
] | 146 |
[Personal History][Doctor] okay what makes you think that have you been taking them [Patient] yeah i check it you know most days again kinda when i remember[SEP][Personal History][Doctor] okay how often are you checking it [Patient] i would say four five times a week[SEP][Therapeutic History][Personal History][Doctor] ... | [
"Personal History"
] | [
"Subjective"
] | 147 |
[Discussion][Medication][Radiology Examination][Referral][Acute Assessment][Doctor] okay alright and for diagnostics so your x-ray so there's no fracture appreciated no bony abnormalities so that looks alright so let me tell you a little bit about my impression and plan with this so you have a knee contusion so for tre... | [
"Physical Examination"
] | [
"Objective"
] | 148 |
[Personal History][Doctor] excuse me i feel rejected right now why why would you say something like that it's fine but you know i i like it when you're not here either because that means that you're doing a good job so let's see about like getting your knee fixed up but i want to talk about some of the other issues tha... | [
"Personal History"
] | [
"Subjective"
] | 149 |
[Conversation Start][SEP] | [
"Acute Symptoms",
"Personal History",
"Greetings"
] | [
"Subjective"
] | 150 |
[Personal History][Doctor] yeah i understand how has your diet been lately [Patient] it's been pretty good[SEP][Physical Examination][Doctor] okay okay good good you know it's hard to stay away from the sugary foods sometimes i i enjoy ice cream regularly okay so let's do physical exam as long as you are here so i'm ju... | [
"Physical Examination"
] | [
"Objective"
] | 151 |
[Therapeutic History][Doctor] okay . all right . and have you taken anything for the insomnia . have you tried any strategies for it . [Patient] i've tried everything from melatonin to meditation to , uh , t- stretching out every morning when i get up . nothing really seems to help though .[SEP][Personal History][Docto... | [
"Therapeutic History"
] | [
"Subjective"
] | 152 |
[Other Socials][Doctor] okay and when you have that kind of pain does it keep you from doing other type of activities [Patient] yeah i mean i still try to like work through with using my arm but yeah it's it's it's difficult for me sometimes to lift and do things because of that pain[SEP][Acute Symptoms][Doctor] okay a... | [
"Physical Examination"
] | [
"Objective"
] | 153 |
[Acute Symptoms][Doctor] is the pain there all the time ? [Patient] it's a nagging feeling and it just depends . sometimes it bothers me , sometimes it does n't .[SEP][Acute Symptoms][Personal History][Doctor] has this been the case over the past two years as well ? [Patient] more recently in the past couple months , a... | [
"Vegetative History"
] | [
"Subjective"
] | 154 |
[Personal History][Doctor] okay . and i know you had the , uh , bypass grafting last year . you're doing okay ? [Patient] it's been great .[SEP][Personal History][Vegetative History][Doctor] no chest pain ? [Patient] other than the congestion , no chest pain .[SEP][Other Socials][Doctor] okay . all right . and you're a... | [
"Physical Examination"
] | [
"Objective"
] | 155 |
[Acute Symptoms][Doctor] you actually no [Patient] yeah it hurts no[SEP][Acute Symptoms][Doctor] what about you i mean are you real weak [Patient] no i would say i'm pretty strong[SEP][Personal History][Doctor] did you go to the gym [Patient] i go to the gym but i swim so the[SEP][Chitchat][Doctor] okay i ca n't treat ... | [
"Personal History"
] | [
"Subjective"
] | 156 |
[Chitchat][Doctor] okay . all right . are you excited for halloween ? [Patient] uh , ca n't wait .[SEP][Chitchat][Doctor] all right , yeah , right . [Patient] yeah .[SEP][Personal History][Doctor] and , so , lastly , for your high blood pressure , how are you doing with that ? have , are , did you buy the blood pressur... | [
"Acute Symptoms",
"Vegetative History"
] | [
"Subjective"
] | 157 |
[Other Socials][Doctor] okay alright that's good to hear so you were playing tennis is that what you normally do to work out [Patient] i do i'm trying to learn but i can not afford tennis less lessons so me and my friends just hit the balls back and forth i do sleep[SEP][Chitchat][Doctor] i love it absolutely yeah my d... | [
"Discussion",
"Other Treatments"
] | [
"Plan"
] | 158 |
[Follow-up][Doctor] yeah , let's plan to talk again in six weeks . so if you stop at the desk on your way out today , they're going to get you set up for a telemedicine visit . and that visit'll just be to check in and see how you're doing and make sure things are progressing okay . [Patient] sure , okay . and can i as... | [
"Discussion"
] | [
"Plan"
] | 159 |
[Acute Symptoms][Therapeutic History][Doctor] okay that sound definitely understandable so you've been in a lot of pain so have you tried to take any medications to alleviate the pain [Patient] yeah i've been taking tylenol i have had to try some ibuprofen i know you said to be careful with my blood pressure but i have... | [
"Acute Symptoms"
] | [
"Subjective"
] | 160 |
[Acute Symptoms][Doctor] all right . and when did this happen ? [Patient] it was yesterday .[SEP][Acute Symptoms][Doctor] all right . and , uh , where does it hurt mostly ? [Patient] it hurts like in , in , in the inside of my knee .[SEP][Acute Symptoms][Therapeutic History][Doctor] all right . and anything make it bet... | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | 161 |
[Physical Examination][Diagnostic Testing][Acute Assessment][Radiology Examination][Doctor] all right . the patient is alert , oriented to time , place , and person . affect is appropriate and speech is fluent . cranial nerve examination is grossly intact . no focal , motor , or sensory deficit in the upper or lower ex... | [
"Chitchat"
] | [
"Null"
] | 162 |
[Chitchat][Doctor] it's good to see you too . so , i know the nurse told you about dax . [Patient] mm-hmm .[SEP][Chitchat][Doctor] i'd like to tell dax a little bit about you . [Patient] sure .[SEP][Acute Symptoms][Personal History][Doctor] so , lawrence is a 62-year-old male , with a past medical history significant f... | [
"Vegetative History"
] | [
"Subjective"
] | 163 |
[Acute Symptoms][Doctor] okay alright and and now are you having the pain all the time or does it come and go [Patient] the pain is always there and then it gets worse like if i try to put any pressure on it it gets worse so if i'm laying at night if i try to even lay on that shoulder it's unbearable[SEP][Acute Symptom... | [
"Acute Symptoms"
] | [
"Subjective"
] | 164 |
[Conversation Start][SEP][Greetings][Doctor] hi joyce , how are you ? [Patient] i'm good . how are you ?[SEP][Chitchat][Doctor] i'm doing well . so , i know the nurse told you about dax . i'd like to tell dax a little bit about you when we get started , okay ? [Patient] okay .[SEP][Acute Symptoms][Personal History][Doc... | [
"Vegetative History"
] | [
"Subjective"
] | 165 |
[Personal History][Doctor] good . good . so , i saw you were recently in the emergency room with high blood pressure and some palpitations . [Patient] yeah . that was back in march i think , but my girlfriend and i , we talked about it , and on that day i had a few cups of coffee , and no breakfast . so , i think it wa... | [
"Therapeutic History"
] | [
"Subjective"
] | 166 |
[Chitchat][Doctor] i bet . sounds like fun . [Patient] it is .[SEP][Vegetative History][Doctor] did you have any other pregnancies that were miscarriages or terminations ? [Patient] really , i did not .[SEP][Therapeutic History][Doctor] okay . so for the record , that's g5 p5 . and now that you're post-menopausal , are... | [
"Therapeutic History"
] | [
"Subjective"
] | 167 |
[Chitchat][Doctor] i'd like to tell dax a little bit about you . [Patient] sure .[SEP][Acute Symptoms][Personal History][Doctor] so , lawrence is a 62-year-old male , with a past medical history significant for type i diabetes , congestive heart failure , depression , and reflux , who presents with complaints of shortn... | [
"Acute Symptoms"
] | [
"Subjective"
] | 168 |
[Acute Symptoms][Doctor] alright so where exactly is it on the side on the back [Patient] it's in the back of my neck[SEP][Acute Symptoms][Therapeutic History][Doctor] okay has anything made it better [Patient] i mean i've tried some ibuprofen that helped a little bit but not too much[SEP][Acute Symptoms][Therapeutic H... | [
"Acute Symptoms"
] | [
"Subjective"
] | 169 |
[Conversation Start][SEP][Greetings][Doctor] hi , anna . how are you ? [Patient] i'm doing okay . how are you ?[SEP][Chitchat][Doctor] i'm doing okay . so i know the nurse told you about dax . i'd like to tell dax a little bit about you . [Patient] all right .[SEP][Personal History][Doctor] so , anna is a 44-year-old f... | [
"Personal History"
] | [
"Subjective"
] | 170 |
[Other Socials][Doctor] okay alright and what do you do for work [Patient] i i work as a cashier in a supermarket[SEP][Therapeutic History][Doctor] okay alright and did you get your covid vaccine [Patient] yep i did get my covid vaccine but it really made me feel sick so i'm hoping i do n't have to get another one late... | [
"Vegetative History"
] | [
"Subjective"
] | 171 |
[Conversation Start][SEP][Personal History][Greetings][Doctor] 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 sa... | [
"Acute Symptoms"
] | [
"Subjective"
] | 172 |
[Physical Examination][Doctor] alright what about here [Patient] yeah[SEP][Physical Examination][Doctor] 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 [Patient] malleolus[SEP][Physical Examination][Personal History][Rad... | [
"Discussion",
"Reassessment"
] | [
"Assessment",
"Plan"
] | 173 |
[Discussion][Other Treatments][Doctor] and we would then lift them and elevate the nipple position in order to help with your back pain , neck pain , and because i'm a plastic surgeon , of course i want them to look nice as well . [Patient] right .[SEP][Discussion][Other Treatments][Doctor] so typically , when you do t... | [
"Discussion",
"Other Treatments"
] | [
"Plan"
] | 174 |
[Physical Examination][Doctor] no , okay , all right . well , i'm gon na go ahead and do a quick physical exam , okay ? [Patient] okay .[SEP][Physical Examination][Medication][Doctor] hey , dragon , show me the blood pressure . so , yeah , looking at your blood pressure today here in the office , it is a little elevate... | [
"Discussion",
"Medication"
] | [
"Plan"
] | 175 |
[Vegetative History][Doctor] okay do you experience like any loss of control of your bladder or your bowels [Patient] no[SEP][Personal History][Therapeutic History][Doctor] okay now you mentioned earlier that you you have some tried tried some things in the past so tell me what were they [Patient] so i've tried some ph... | [
"Family History"
] | [
"Subjective"
] | 176 |
[Acute Symptoms][Doctor] okay does it hurt more when you walk for longer periods of time [Patient] yes[SEP][Acute Symptoms][Doctor] okay how long does the pain last [Patient] for as long as my walk is and i do n't sometimes i walk five minutes kinda depends on the wind[SEP][Acute Symptoms][Doctor] okay alright [Patient... | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | 177 |
[Physical Examination][Doctor] no alright so i'm gon na have you flex your knee is that painful [Patient] yeah that's uncomfortable[SEP][Physical Examination][Doctor] that's uncomfortable and extend it so that's painful [Patient] yeah yes[SEP][Physical Examination][Medication][Other Treatments][Radiology Examination][R... | [
"Chitchat"
] | [
"Null"
] | 178 |
[Acute Symptoms][Therapeutic History][Doctor] alright and have you taken anything for the pain [Patient] yeah so i i had like a ulcer not too long ago so my doctor told me that i could n't take any like kind of advil or ibuprofen[SEP][Acute Symptoms][Therapeutic History][Doctor] mm-hmm [Patient] so i've been taking som... | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | 179 |
[Acute Symptoms][Doctor] does it happen on its own or there are certain things that trigger it [Patient] sometimes if i'm if certain temperatures seem to trigger it sometimes or if it's super where it's cold i get a trigger sometimes sometimes certain kind of sensory outside of the wind sometimes that seems to trigger ... | [
"Personal History"
] | [
"Subjective"
] | 180 |
[Acute Assessment][Doctor] you know , i , i think , you know , you're doing a ... it sounds like a doing a good job watching your diet . you could ... you just are retaining a little bit of fluid , maybe just from standing all day . [Patient] okay .[SEP][Chitchat][Doctor] okay ? let's take a look at some of your result... | [
"Chitchat"
] | [
"Null"
] | 181 |
[Other Socials][Doctor] okay yeah yeah i mean that's that's definitely understandable it says you had a four point four centimeter left upper lobe nodule in there so it's kinda big but that's understandable and we're doing the chemo to try to reduce that that that tumor that you do have so how often do you normally run... | [
"Vegetative History"
] | [
"Subjective"
] | 182 |
[Acute Symptoms][Doctor] okay , that's good . [Patient] so i got up , i sat on the side of the bed and held my arm down , thinking it would , like , help the circulation , but it did n't .[SEP][Acute Symptoms][Doctor] okay , i see . [Patient] and so , after a while , when it eased off , maybe about four , five am , i l... | [
"Acute Symptoms"
] | [
"Subjective"
] | 183 |
[Diagnostic Testing][Doctor] if pamela said it's broken then you know what this is what we're gon na do we're gon na order something called a ct that's gon na give us even nope you know what let's upgrade to an mri it's gon na give us the most thorough image of everything that's going on the heart and the soft tissues ... | [
"Chitchat"
] | [
"Null"
] | 184 |
[Conversation Start][SEP] | [
"Acute Symptoms",
"Personal History",
"Greetings"
] | [
"Subjective"
] | 185 |
[Conversation Start][SEP][Acute Symptoms][Personal History][Greetings][Doctor] mister jackson is a 45 -year-old male who has a history of diabetes type two and mild intermittent asthma and he is here today with right elbow pain so hey there mark nice to see you again listen sorry you're having some elbow pain let's tal... | [
"Acute Symptoms"
] | [
"Subjective"
] | 186 |
[Conversation Start][SEP][Acute Symptoms][Greetings][Doctor] so barbara i i know you are here for some itchy scalp pain can you tell me a little bit about how you're doing [Patient] yeah it's still quite a problem you know something i've been suffering with for so long now it's still quite itchy and it's really embarra... | [
"Acute Symptoms"
] | [
"Subjective"
] | 187 |
[Acute Symptoms][Therapeutic History][Doctor] okay alrighty and did that help [Patient] yeah the ibuprofen helped a little bit but i'm on it pretty on a pretty regular basis right now[SEP][Acute Symptoms][Doctor] gotcha okay now tell me are you able to bend or straighten your leg ever since then [Patient] i can bend it... | [
"Physical Examination",
"Discussion",
"Medication",
"Other Treatments",
"Diagnostic Testing",
"Acute Assessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 188 |
[Chitchat][Doctor] doing okay . so i know the nurse told you about dax . i'd like to tell dax a little bit about you , okay ? [Patient] okay .[SEP][Personal History][Doctor] all right . elizabeth is a 66-year-old female with a past medical history of significant for depression and hypertension who presents for her annu... | [
"Personal History"
] | [
"Subjective"
] | 189 |
[Conversation Start][SEP][Greetings][Doctor] hi gregory hi how are you doing today [Patient] good how are you[SEP][Acute Symptoms][Doctor] i'm alright so i understand that you were having some you know right ankle pain and some swelling after you fell can you can you tell me a little bit about what happened [Patient] y... | [
"Acute Symptoms"
] | [
"Subjective"
] | 190 |
[Conversation Start][SEP][Acute Symptoms][Greetings][Doctor] hi elizabeth so i see that you were experiencing some kind of injury did you say that you hurt your knee [Patient] yes i hurt my knee when i was skiing two weeks ago[SEP][Acute Symptoms][Doctor] okay skiing that sounds exciting alright so what happened what w... | [
"Acute Symptoms"
] | [
"Subjective"
] | 191 |
[Personal History][Doctor] okay alright so we had a car crash in february [Patient] what year it was which february it was[SEP][Personal History][Doctor] okay so let's let's try with this one see what happens hopefully you remember i need you to start writing down these car crashes that this is becoming a thing but you... | [
"Personal History",
"Therapeutic History"
] | [
"Subjective"
] | 192 |
[Acute Symptoms][Doctor] okay so is the pain that you're having is it constant or does it come and go [Patient] it's constant[SEP][Acute Symptoms][Doctor] alright are you able to urinate [Patient] i am and this morning i actually started seeing some blood[SEP][Acute Symptoms][Doctor] okay yeah so and i know you said i ... | [
"Acute Symptoms"
] | [
"Subjective"
] | 193 |
[Conversation Start][SEP][Acute Symptoms][Greetings][Doctor] all right . today i am seeing jose james . uh , date of birth 9/29/1957 . mr . james is a new patient who's having pain in his left shoulder and elbow . he fell five months ago going up a stairs , and the pain has been present since . hi mr . james , i'm doct... | [
"Acute Symptoms"
] | [
"Subjective"
] | 194 |
[Therapeutic History][Doctor] okay alright and i saw you you did see your pcp before you came in did they put you on antibiotics [Patient] they did start me on some medication but i did n't i did n't pick them up from the pharmacy yet[SEP][Therapeutic History][Doctor] okay do you know which ones that they prescribed fo... | [
"Acute Symptoms"
] | [
"Subjective"
] | 195 |
[Discussion][Medication][Doctor] okay , all right . and then for your last problem your hypertension , you know , again i , i , i think it's out of control . but we'll see , i think , you know , i'd like to see you take the lisinopril as directed , okay ? uh , i want you to record your blood pressures within the patien... | [
"Discussion",
"Medication"
] | [
"Plan"
] | 196 |
[Vegetative History][Doctor] 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 [Patient] yes i hav... | [
"Chitchat"
] | [
"Null"
] | 197 |
[Physical Examination][Doctor] okay . so on physical examination , i do n't appreciate any carotid bruits in your neck . on your heart exam i do notice a slight 2/6 systolic ejection murmur , which we've heard in the past , so i think that's stable . your lungs in- are nice and clear , and you have some trace lower ext... | [
"Discussion",
"Medication"
] | [
"Plan"
] | 198 |
[Chitchat][Doctor] okay . well , you know , you can only do what you can do . [Patient] yeah , i agree .[SEP][Chitchat][Doctor] all right . well , let's complete your exam . [Patient] all right .[SEP][Physical Examination][Doctor] so let's take a deep breath . and again . all right , you can breathe normally . all righ... | [
"Physical Examination"
] | [
"Objective"
] | 199 |
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