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[Vegetative History][Doctor] okay , all right . and how about , um , like any added sugars into any kind of processed foods or anything like that ? [Patient] uh , i think most of my sugars come from fruit .[SEP][Vegetative History][Doctor] from what ? [Patient] fruit .[SEP][Chitchat][Doctor] fruit , okay . [Patient] ye... | [
"Acute Symptoms"
] | [
"Subjective"
] | 200 |
[Personal History][Doctor] no okay and have you ever had a tick bite before [Patient] i have when i was younger i used to get a lot of them because i spent a lot of time out of the woods never get into anesthesia takes you can get several bites out of that but this was just one[SEP][Personal History][Doctor] okay alrig... | [
"Personal History",
"Vegetative History"
] | [
"Subjective"
] | 201 |
[Chitchat][Doctor] so yeah we we've been down there we got some pain we we got went and got some samples and then hey while we were there we ended up deciding to put down a bunch of flooring too so i really recommend you guys if you get a chance go over there and take a look at their sales and and see if you ca n't fin... | [
"Chitchat"
] | [
"Null"
] | 202 |
[Acute Symptoms][Doctor] and an ace wrap okay now how many days ago was this exactly [Patient] seven[SEP][Personal History][Therapeutic History][Doctor] seven days ago okay yeah your right knee still looks a little swollen for seven days ago so i'm gon na go ahead and now i also see that you're diabetic and that you ta... | [
"Acute Symptoms"
] | [
"Subjective"
] | 203 |
[Chitchat][Doctor] i'm good . uh , are you ready to get started ? [Patient] yes .[SEP][Acute Symptoms][Doctor] okay . so , janet is a 33-year-old female , here for some , some joint paint . what , what joint's been bothering you , janet ? [Patient] it's been mostly , um , my knees , actually . i've been doing more stai... | [
"Acute Symptoms"
] | [
"Subjective"
] | 204 |
[Therapeutic History][Doctor] i'm sorry to hear that . and- and what did you do about the second dose ? [Patient] well , i called into the hotline because i was in so much pain with the first one . and they said , " no , just go ahead and take it , " so i did .[SEP][Discussion][Diagnostic Testing][Doctor] okay . that's... | [
"Physical Examination"
] | [
"Objective"
] | 205 |
[Personal History][Doctor] okay . um , it looks like you had a history of atopic eczema in your past ? [Patient] yes . yes , i have eczema .[SEP][Personal History][Therapeutic History][Doctor] okay . and you take uh- uh , fluocinonide for that ? [Patient] yes , when it gets really itchy , i'll- i'll use that and it usu... | [
"Physical Examination",
"Therapeutic History"
] | [
"Subjective",
"Objective"
] | 206 |
[Other Socials][Doctor] okay well are you still wearing those same shoes that cause the problem [Patient] no i'm upset[SEP][Chitchat][Doctor] i'm so upset too i love those shoes [Patient] no i'm so upset i i love those shoes[SEP][Other Socials][Doctor] okay so what kind of shoes are they [Patient] they're hoka's[SEP][O... | [
"Chitchat"
] | [
"Null"
] | 207 |
[Physical Examination][Doctor] okay . you can go ahead and , um , sit down please . no pain ? [Patient] no .[SEP][Physical Examination][Doctor] okay . sacroiliac signs are negative . examination of the hips . trochanteric is non tender . go ahead and lift your knee up , does that bother you ? [Patient] um , just a litt... | [
"Physical Examination"
] | [
"Objective"
] | 208 |
[Physical Examination][Doctor] okay then . i'm going to be using my status post template , ms. sanchez , please lie down on the table here and we'll get started . all right . can you turn your head to the left . head and neck no jvd detected . you can turn back now and just take a couple of deep breaths for me please .... | [
"Physical Examination"
] | [
"Objective"
] | 209 |
[Acute Symptoms][Doctor] okay and when does it does it happen every time you eat [Patient] it hurts not every time it hurts when i when i swallow most foods but it's really just the bigger pieces of food that seem like they're getting stuck[SEP][Personal History][Doctor] okay and what do you mean by bigger pieces of fo... | [
"Vegetative History"
] | [
"Subjective"
] | 210 |
[Diagnostic Testing][Doctor] all right , well , let's just repeat it then . [Patient] yeah , that's fine with me , to be safe .[SEP][Discussion][Diagnostic Testing][Doctor] okay . i know it sounds superstitious , but i feel like with all the immunocompromising , the pressure , the stress that people's bodies have been ... | [
"Physical Examination"
] | [
"Objective"
] | 211 |
[Conversation Start][SEP][Greetings][Doctor] patient is julia jones , date of birth 5/16/1996 . she is a new breast reduction consult . hello , how are you doing today ? i'm dr. gonzalez . it's nice to meet you . [Patient] nice to meet you , ma'am . how are you ?[SEP][Acute Symptoms][Doctor] i'm doing good , thank you ... | [
"Personal History"
] | [
"Subjective"
] | 212 |
[Acute Symptoms][Doctor] wow okay and do you know if there was any direct or associated trauma that you can think of over the past three weeks like did you fall or hit your shoulder or anything [Patient] no no trauma that i can think of at all[SEP][Personal History][Doctor] okay now have you ever had pain in that shoul... | [
"Acute Symptoms"
] | [
"Subjective"
] | 213 |
[Conversation Start][SEP][Acute Symptoms][Greetings][Doctor] hi , bryan . how are you ? [Patient] i'm doing well . i'm a little sore .[SEP][Chitchat][Doctor] all right , well , i know the nurse told you about dax . i'd like to tell dax a little bit about you , okay ? [Patient] that's fine .[SEP] | [
"Acute Symptoms",
"Personal History"
] | [
"Subjective"
] | 214 |
[Conversation Start][SEP] | [
"Acute Symptoms",
"Greetings"
] | [
"Subjective"
] | 215 |
[Conversation Start][SEP] | [
"Greetings"
] | [
"Subjective"
] | 216 |
[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 female with a past medical history significant for arthritis , gout , and reflux , who presents today for follow up o... | [
"Therapeutic History"
] | [
"Subjective"
] | 217 |
[Chitchat][Doctor] okay what kind of rides do you like [Patient] i like rock music and regain music rides so whoever is doing those in a began or a medium content i'm cool with[SEP][Acute Symptoms][Doctor] i ca n't picture you as a regade person so that's interesting to know okay alright and any numbing or tingling in ... | [
"Physical Examination"
] | [
"Objective"
] | 218 |
[Physical Examination][Doctor] okay , great . all right well i'm just going to look at your ankles and feet , i'm looking for any signs of swelling . [Patient] okay .[SEP][Discussion][Other Treatments][Reassessment][Doctor] all right , well everything looks good . you can go ahead and sit up miss taylor . all right , s... | [
"Discussion",
"Medication"
] | [
"Plan"
] | 219 |
[Lab Examination][Doctor] all right , let's review your blood work real quick . i checked your hemoglobin level because you have had some anemia in the past but that is still doing great . [Patient] good , that's a relief to hear .[SEP][Lab Examination][Doctor] your potassium is 3.9 so it's holding steady on the torsem... | [
"Lab Examination"
] | [
"Objective"
] | 220 |
[Greetings][Doctor] okay good morning [Patient] good morning thanks doctor doctor cooper i'm i'm you know i'm a little i'm sad to be in here but you know thanks for taking me in i appreciate it[SEP][Discussion][Doctor] sure absolutely what can i help you with today [Patient] so you know i've been dealing with my asthm... | [
"Acute Symptoms"
] | [
"Subjective"
] | 221 |
[Discussion][Doctor] okay how long is the vacation [Patient] it's only for like a couple weeks[SEP][Discussion][Doctor] okay well so you might have to postpone it just because depending on what physical therapy says right if they feel that you can sustain if you can like sustain the exercises while you're gone that if ... | [
"Radiology Examination",
"Acute Assessment"
] | [
"Assessment",
"Objective"
] | 222 |
[Acute Symptoms][Personal History][Doctor] 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 ? [Patient] so , uh , about a week ago i started to get a c... | [
"Acute Symptoms",
"Vegetative History"
] | [
"Subjective"
] | 223 |
[Personal History][Vegetative History][Doctor] okay . have you- ... go ahead . [Patient] actually it has n't changed at all . much of the same .[SEP][Personal History][Vegetative History][Doctor] okay and what do you con- consider the same ? are you eating lots of sugar ? like , teas and coffees and- [Patient] i do n't... | [
"Acute Symptoms"
] | [
"Subjective"
] | 224 |
[Greetings][Doctor] hi , alexander . how are you ? [Patient] i'm doing really well . thank you .[SEP][Chitchat][Doctor] so , i know the nurse told you a little bit about dax . i'd like to tell dax about you . okay ? [Patient] sure .[SEP][Therapeutic History][Personal History][Doctor] so , alexander is a 62-year-old mal... | [
"Acute Symptoms",
"Drug History"
] | [
"Subjective"
] | 225 |
[Acute Symptoms][Doctor] okay alright [Patient] sometimes i walk there is[SEP][Acute Symptoms][Therapeutic History][Doctor] okay alright have you done anything to help with the pain [Patient] well i wear a brace and i have used a lot of thc cream on it[SEP][Acute Symptoms][Therapeutic History][Doctor] okay alright thc ... | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | 226 |
[Acute Symptoms][Doctor] mm-hmm [Patient] and i hit in the back and like my my neck went forward and my head went forward really quick and so i've been having some pain ever since[SEP][Acute Symptoms][Doctor] okay and so with this pain how long ago was the car accident [Patient] that was about a week ago[SEP][Acute Sym... | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | 227 |
[Discussion][Doctor] okay . so , i know that we've kind of talked about holding off on medical therapy- [Patient] mm-hmm .[SEP][Discussion][Doctor] . 'cause you're on so many other meds . [Patient] mm-hmm .[SEP][Discussion][Doctor] um , is that something that you wan na revisit , or do you wan na look into therapy , or... | [
"Vegetative History"
] | [
"Subjective"
] | 228 |
[Acute Symptoms][Doctor] okay alright [Patient] i think that was my left knee[SEP][Acute Symptoms][Doctor] okay okay alright so we got we got ta pick one if it if it [Patient] i'm just trying to be real[SEP][Acute Symptoms][Doctor] a hundred percent so how about this right now you're like i what i'm hearing is that you... | [
"Acute Symptoms"
] | [
"Subjective"
] | 229 |
[Other Socials][Doctor] okay okay okay how so do you have any other exercises that i might wan na know about outside of intense gym and ski events [Patient] no i think that's about it[SEP][Other Socials][Doctor] okay and how frequently do you normally ski [Patient] i ski probably three times a week[SEP][Therapeutic His... | [
"Physical Examination"
] | [
"Objective"
] | 230 |
[Personal History][Doctor] martha is a 50-year-old female with a past medical history significant for congestive heart failure , depression and hypertension who presents for her annual exam . so , martha , it's been a year since i've seen you . how are you doing ? [Patient] i'm doing well . i've been traveling a lot re... | [
"Personal History"
] | [
"Subjective"
] | 231 |
[Acute Symptoms][Doctor] okay great thanks so carolyn tell me about your headache and headache or headaches when did when did they start and and what symptoms are you having [Patient] my headache started about a week ago it's feeling like a dull pain in the back of my head i have flushing in my ears they get really red... | [
"Acute Symptoms"
] | [
"Subjective"
] | 232 |
[Conversation Start][SEP][Acute Symptoms][Greetings][Doctor] hey alan i good to see you today so i looked here my appointment notes and i see that you're coming in you had some shoulder pain left shoulder pain for the last three weeks so how you doing is it is it gotten any better [Patient] yeah yeah i've been having a... | [
"Acute Symptoms"
] | [
"Subjective"
] | 233 |
[Radiology Examination][Doctor] let's look at your x-rays . uh , they look good . so here's what you got going on in there . uh , it looks good . everything's lined up nicely . um , that's looking at it from the front . and this is looking at it from the side . and then this was underneath your kneecap , but we did n't... | [
"Discussion"
] | [
"Plan"
] | 234 |
[Personal History][Doctor] okay , that sounds good . [Patient] but i was taking it twice a day and i did notice a lotta improvement .[SEP][Vegetative History][Doctor] i see . um , are you breastfeeding at this time ? [Patient] no , i'm not right now .[SEP][Vegetative History][Doctor] okay , good . so you- you should no... | [
"Discussion",
"Medication"
] | [
"Plan"
] | 235 |
[Conversation Start][SEP][Acute Symptoms][Personal History][Greetings][Doctor] so gloria is a 46 -year-old female today with past medical history of diabetes and back pain and today here for shortness of breath with chf and copd also so gloria tell me what's going on [Patient] i i i'm having a lot of trouble sleeping[S... | [
"Acute Symptoms"
] | [
"Subjective"
] | 236 |
[Personal History][Doctor] 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... | [
"Other Socials"
] | [
"Subjective"
] | 237 |
[Conversation Start][SEP][Greetings][Doctor] hi evelyn , how are you ? [Patient] i'm good , how are you ?[SEP][Chitchat][Doctor] i'm good . it's good to see you . [Patient] good to see you too .[SEP][Chitchat][Doctor] so i know the nurse told you a little bit about dax . i'm gon na tell dax about you , okay ? [Patient]... | [
"Therapeutic History"
] | [
"Subjective"
] | 238 |
[Conversation Start][SEP][Greetings][Doctor] uh , mrn49282721 . patient's name is jacqueline miller . use last visit exam where appropriate . hi , how are you doing , jacqueline ? [Patient] i'm pretty . good . how are you ?[SEP] | [
"Personal History"
] | [
"Subjective"
] | 239 |
[Personal History][Doctor] so do you have any other medical conditions [Patient] no i'm actually other than that i just had my physical and i'm not taking any medications no i'm i'm pretty good otherwise[SEP][Family History][Doctor] okay and what conditions would you say run in your family [Patient] i have high blood p... | [
"Chitchat"
] | [
"Null"
] | 240 |
[Other Socials][Doctor] wow that's that's a that's an aggressive campaign to get there so really hope you get that triathlon in so you're how many days a week does this occur that you're training [Patient] i i do that five days a week on the weekends i kinda alternate between you know a long run and a long bike do n't ... | [
"Other Socials"
] | [
"Subjective"
] | 241 |
[Conversation Start][SEP][Greetings][Doctor] um , hi mrs. anderson . right ? [Patient] yeah . yes , doctor .[SEP][Acute Symptoms][Doctor] what brings you here today ? [Patient] hi , doctor . um , i'm having this left shoulder pain lately , uh , and it's paining a lot .[SEP][Acute Symptoms][Doctor] okay . all right . he... | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | 242 |
[Vegetative History][Doctor] and how's your weight been ? any fluctuation ? [Patient] nice and pretty stable , although i could stand to lose about 25 pounds .[SEP][Family History][Doctor] okay . and is there any family history of gi issues that you know of ? [Patient] not that i can think of . well , actually my siste... | [
"Personal History"
] | [
"Subjective"
] | 243 |
[Conversation Start][SEP][Greetings][Doctor] hi , stephanie . how are you ? [Patient] i'm doing okay . how are you ?[SEP][Chitchat][Doctor] i'm doing okay . um , so i know the nurse talked to you about dax . i'd like to tell dax a little bit about you , okay ? [Patient] okay .[SEP][Acute Symptoms][Personal History][Doc... | [
"Acute Symptoms",
"Vegetative History"
] | [
"Subjective"
] | 244 |
[Therapeutic History][Doctor] and so by inhaler do they mean both your daily and rescue inhalers ? [Patient] mm-hmm . so it's like they'll have a fitness test and basically they'll tell me not to take my inhaler that day before the test , and then they'll see how the asthma affects me . and they're looking to see if it... | [
"Personal History"
] | [
"Subjective"
] | 245 |
[Therapeutic History][Doctor] okay alright yeah because i think we really want you to stay away from that those anti-inflammatories because that can make your kidney function worse and obviously you know we do n't wan na see you go on dialysis or anything like that so we'll have [Patient] mean neither[SEP][Personal His... | [
"Referral",
"Other Treatments"
] | [
"Plan"
] | 246 |
[Physical Examination][Doctor] i would like you to follow my finger here and i see that you're following my finger in in both directions can you show me your teeth . that looks nice and symmetric i'm gon na rub my fingers next to your ear can you hear that [Patient] yep[SEP][Physical Examination][Doctor] you can hear i... | [
"Acute Assessment",
"Radiology Examination"
] | [
"Assessment",
"Objective"
] | 247 |
[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"
] | 248 |
[Personal History][Doctor] okay . and have you noticed bleeding from anywhere ? [Patient] i have not . i have n't hurt myself in quite a while . maybe a slight nick from a knife while chopping some onions , but nothing more than that .[SEP][Vegetative History][Doctor] but no blood in your stools or- [Patient] no .[SEP]... | [
"Vegetative History"
] | [
"Subjective"
] | 249 |
[Lab Examination][Doctor] so , not only , you know , have your blood sugars , were they high that one day , they were , they've been a little elevated . [Patient] mm-hmm .[SEP][Discussion][Doctor] so , we'll talk about , you know , how to go ahead and , and fix that . okay ? so , let me talk a little bit about my asses... | [
"Referral"
] | [
"Plan"
] | 250 |
[Lab Examination][Doctor] your potassium is 3.9 so it's holding steady on the torsemide . your creatinine was .7 not .8 so you're doing well with kidney numbers . your bun may be a tiny bit elevated at 23 which is the number we look for for dehydration sometimes the kidneys , but it's not terrible . um so when i look a... | [
"Physical Examination"
] | [
"Objective"
] | 251 |
[Conversation Start][SEP][Greetings][Doctor] elizabeth , how are you ? [Patient] i'm doing okay . how are you ?[SEP][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-... | [
"Personal History",
"Therapeutic History"
] | [
"Subjective"
] | 252 |
[Acute Symptoms][Doctor] okay great alright and since you had this knee pain any numbing or tingling in your foot at all [Patient] no just the swelling and the pain[SEP][Acute Symptoms][Therapeutic History][Doctor] okay and what have you taken for the pain [Patient] i i took some aleve twice a day some over the counter... | [
"Physical Examination"
] | [
"Objective"
] | 253 |
[Acute Symptoms][Doctor] yeah , and with the diarrhea and abdomal- um , abdominal pain . [Patient] right now , i'm still having the cramping and sharp pains , so i've been avoiding heavy foods . i did have some fried chicken today , though .[SEP][Acute Symptoms][Doctor] and was everything all right after that ? [Patien... | [
"Physical Examination"
] | [
"Objective"
] | 254 |
[Physical Examination][Doctor] okay , no tenderness . look at your right and your left and then over to the right , then go ahead and look up , then look down , and look straight ahead . range of motion is full in the neck without pain . spurling's test is negative . exam of the low back . any pain here ? [Patient] no ... | [
"Physical Examination"
] | [
"Objective"
] | 255 |
[Therapeutic History][Doctor] okay , all right . and are you taking your medication , are you taking the lisinopril ? [Patient] yes i am .[SEP][Therapeutic History][Doctor] okay , all right . um , so i think we had started you at a , kind of , a moderate dose , so we'll have to talk about that a little bit , okay ? [Pa... | [
"Physical Examination"
] | [
"Objective"
] | 256 |
[Conversation Start][SEP][Greetings][Doctor] hi kyle how are you today [Patient] i'm doing well i'm just anxious about my pcp told me that i had some abnormal lab work and why she wanted me to be seen by you today[SEP][Personal History][Doctor] yeah i bet that did make you nervous i i see that she referred you for a lo... | [
"Chitchat"
] | [
"Null"
] | 257 |
[Vegetative History][Doctor] have you smoked [Patient] next maybe that i have n't[SEP][Vegetative History][Doctor] are you it's okay i'm your doctor i'm not here to judge you i just want to make sure that i'm like you know when the conclusions that we come to and like my assessment and plan for you i need to know this ... | [
"Drug History"
] | [
"Subjective"
] | 258 |
[Discussion][Other Treatments][Doctor] so it's actually [Patient] have to be in the hospital[SEP][Discussion][Doctor] no no no no no it's actually a day surgery and you'll be able to go home the same day and then you will follow up with me here in the clinic in about a week you'll be in a cast and you will use crutches... | [
"Discussion",
"Referral"
] | [
"Plan"
] | 259 |
[Physical Examination][Doctor] okay alright sorry what about on the side does that hurt [Patient] yes[SEP][Physical Examination][Doctor] okay so pain on palpation both on the bony process and on the muscle can you move your neck from side to side can you move your neck can you swive it side to side no no alright so i'm... | [
"Radiology Examination",
"Acute Assessment"
] | [
"Assessment",
"Objective"
] | 260 |
[Therapeutic History][Doctor] you do n't check it at all okay that's that's okay i i looked at it here we will talk about that in a minute and are you taking the lisinopril i think we have you on twenty milligrams a day [Patient] i think that's what i'm taking[SEP][Therapeutic History][Doctor] okay but you do take it [... | [
"Chitchat"
] | [
"Null"
] | 261 |
[Personal History][Doctor] is that in the morning when you're fasting [Patient] yes[SEP][Therapeutic History][Doctor] and are you taking your metformin [Patient] yes yes that's along with the blood pressure medicine morning and night[SEP][Vegetative History][Doctor] okay alright so are you are you eating like late at n... | [
"Physical Examination"
] | [
"Objective"
] | 262 |
[Chitchat][Doctor] well , let's talk about what we found and then some possible next steps if you're in agreement . [Patient] okay .[SEP][Acute Assessment][Doctor] so as i said , the hepatomegaly means your liver is enlarged . [Patient] could that be why my stomach is hurting and i'm having issues with the constipation... | [
"Discussion"
] | [
"Plan"
] | 263 |
[Personal History][Doctor] okay now have you had any shoulder pain before of that right shoulder or is this the first time or or the first insult to that area [Patient] first time[SEP][Acute Symptoms][Physical Examination][Doctor] okay and now are you able to move that right arm for me [Patient] yes i'm able to move bu... | [
"Acute Symptoms"
] | [
"Subjective"
] | 264 |
[Diagnostic Testing][Other Treatments][Doctor] i'm not gon na know that for sure or if there is other things going on in there but i think getting an mri scan to look at what you may have done inside there i'm pretty suspicious though that you may have injured that ligament if that's the only thing you did very rarely ... | [
"Discussion"
] | [
"Plan"
] | 265 |
[Conversation Start][SEP][Greetings][Doctor] hi , susan , how are you ? [Patient] good . how are you ?[SEP][Greetings][Doctor] good . are you ready to get started ? [Patient] yes , i am .[SEP] | [
"Personal History"
] | [
"Subjective"
] | 266 |
[Discussion][Doctor] mm-hmm . [Patient] . so , um , i hope that should n't matter , right ?[SEP][Discussion][Doctor] um , that does n't seem related to your pain . [Patient] okay .[SEP][Discussion][Doctor] so ... but i would try to rest my , your left arm- [Patient] okay .[SEP][Discussion][Doctor] . while it's healing ... | [
"Discussion"
] | [
"Plan"
] | 267 |
[Other Treatments][Doctor] there is a lot of salt and pizza and you know and you're gon na have to be able to avoid all the other salty foods as well so and i know that's hard but it's very important for your heart to be able to function at it's best right and you wan na be able to get out and walk you know walk take t... | [
"Chitchat"
] | [
"Null"
] | 268 |
[Conversation Start][SEP] | [
"Greetings"
] | [
"Subjective"
] | 269 |
[Conversation Start][SEP][Acute Symptoms][Personal History][Greetings][Doctor] hey linda good to see you today so looking here in my notes looks like you you think you have a kidney stone think you've had them before and and you i guess you're having some pain and while we are here i see you i see you have a you have p... | [
"Acute Symptoms"
] | [
"Subjective"
] | 270 |
[Conversation Start][SEP] | [
"Greetings"
] | [
"Subjective"
] | 271 |
[Therapeutic History][Doctor] okay , and you take that twice a day ? [Patient] yep .[SEP][Physical Examination][Discussion][Reassessment][Doctor] 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... | [
"Discussion"
] | [
"Plan"
] | 272 |
[Personal History][Therapeutic History][Doctor] okay alright and how have your blood sugars been doing this time i know you're taking the metformin are you checking your accu-cheks how has that been going [Patient] i i'm sorry what's an accu-chek[SEP][Personal History][Doctor] for your blood sugar check are you checkin... | [
"Vegetative History"
] | [
"Subjective"
] | 273 |
[Other Socials][Doctor] okay awesome alright so sorry one question did you do you have a history of playing sports [Patient] yes[SEP][Other Socials][Doctor] okay what did you play [Patient] soccer[SEP][Other Socials][Doctor] okay what position [Patient] i played midfield[SEP][Chitchat][Doctor] okay the people who hide ... | [
"Physical Examination"
] | [
"Objective"
] | 274 |
[Family History][Doctor] okay . so obstructive neuropathy . uh , it sounds like he was born with it and something , uh ... something made it so he could n't urinate correctly . does that sound right ? [Patient Guest] yes , and they did n't catch it in time .[SEP][Family History][Doctor] i'm so sorry to hear that . [Pat... | [
"Family History"
] | [
"Subjective"
] | 275 |
[Acute Symptoms][Doctor] what can i do for you today [Patient] well i think i like fell off of my tandem bike with my partner and my knee has been hurting ever since[SEP][Acute Symptoms][Doctor] and when did that happen [Patient] maybe like two weeks ago[SEP][Acute Symptoms][Doctor] okay and which knee are we talking a... | [
"Therapeutic History"
] | [
"Subjective"
] | 276 |
[Conversation Start][SEP][Personal History][Greetings][Doctor] 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 y... | [
"Personal History"
] | [
"Subjective"
] | 277 |
[Conversation Start][SEP][Personal History][Greetings][Therapeutic History][Doctor] all right . this is matthew rogers . date of birth 5/24/2007 . i would like to use the acne follow-up template for him . he is here today for an acne follow-up . at the last visit on 3/3/21 he was prescribed the following : clindamycin ... | [
"Therapeutic History"
] | [
"Subjective"
] | 278 |
[Acute Symptoms][Doctor] okay yeah yeah a lot of my patients you know have that that minor pain so you [Patient] i'm a horrible active by the way[SEP][Vegetative History][Doctor] no yeah that's that's that's totally fine that's totally fine you know i'm just playing the doctor on tv so good good alright so have you had... | [
"Personal History"
] | [
"Subjective"
] | 279 |
[Personal History][Doctor] cataracts , yep , okay . [Patient] so he did that and then i had to wait for a month to get healed up and then he wrote my prescription .[SEP][Personal History][Doctor] perfect . and then you've got the high blood pressure . [Patient] yeah . a couple of weeks ago , it was 116 on the dot .[SEP... | [
"Personal History"
] | [
"Subjective"
] | 280 |
[Chitchat][Doctor] okay great [Patient] good to go[SEP][Physical Examination][Doctor] sensation is normal to the touch [Patient] yes[SEP][Physical Examination][Doctor] pulses equal in all extremities how about the left elbow same thing if i bend it this way does that hurt [Patient] not as much[SEP][Physical Examination... | [
"Physical Examination"
] | [
"Objective"
] | 281 |
[Personal History][Doctor] okay so now i see here in your record that you have some that you're diabetic and have some diabetic neuropathy as well how's your blood sugars been running i'm i'm assuming kind of all over the place over the last i'm gon na say probably three or four weeks can you tell me about that [Patien... | [
"Chitchat"
] | [
"Null"
] | 282 |
[Medication][Doctor] and then i also wan na go ahead and prescribe meloxicam fifteen milligrams once a day [Patient] mm-hmm[SEP][Discussion][Doctor] to help with that do you have any questions about that [Patient] no questions[SEP][Discussion][Medication][Doctor] now if you do have a herniated disk we can go ahead and ... | [
"Chitchat"
] | [
"Null"
] | 283 |
[Physical Examination][Doctor] well let me so we're gon na have to watch that and i'll come back and we'll talk a little bit about the diabetes but let's go ahead and do that i do n't wan na do a a a quick physical exam on you i'm gon na look in your eyes here and so let me quickly look in your ears [Patient] i see[SEP... | [
"Physical Examination"
] | [
"Objective"
] | 284 |
[Other Socials][Doctor] that's fun very nice so you stay pretty active it sounds like [Patient] well i keep pretty active during the week yeah[SEP][Vegetative History][Doctor] okay very good good for you now tell me what what kind of foods do you like to eat [Patient] well i mean i really like chocolate chip cookies[SE... | [
"Other Socials"
] | [
"Subjective"
] | 285 |
[Acute Symptoms][Doctor] all right . good . i'm glad to hear that . great . all right . [Patient] uh , i think getting that , rid of that reflux , really helped my attitude improve .[SEP][Other Socials][Doctor] okay . okay . and you have a , a good support system at home ? i know you have a big- [Patient] yeah .[SEP][O... | [
"Acute Symptoms",
"Vegetative History"
] | [
"Subjective"
] | 286 |
[Personal History][Doctor] wow what happened what did they do [Patient] microdiscectomy my disk broke off and just wrapped around and connected to my spinal thecal sac[SEP][Acute Symptoms][Doctor] sounds horrible [Patient] it's not the poop sac though[SEP][Acute Symptoms][Doctor] that's good to know what kind of sympto... | [
"Acute Symptoms"
] | [
"Subjective"
] | 287 |
[Personal History][Doctor] all right . okay . um , and any history with your back in the past ? [Patient] i actually had surgery about 10 years ago on my lower back .[SEP][Personal History][Doctor] okay . all right . now , tell me a little bit about your , your heart failure . you know , i have n't seen you in a while ... | [
"Personal History",
"Vegetative History"
] | [
"Subjective"
] | 288 |
[Personal History][Doctor] okay so you've had surgery before alright do you remember what kind of surgery [Patient] i do n't know they told me they reconstructed the whole thing i was fourteen i was a really good gymnast back then really good[SEP][Other Socials][Doctor] okay okay okay how so do you have any other exerc... | [
"Other Socials"
] | [
"Subjective"
] | 289 |
[Acute Symptoms][Greetings][Doctor] hey alan i good to see you today so i looked here my appointment notes and i see that you're coming in you had some shoulder pain left shoulder pain for the last three weeks so how you doing is it is it gotten any better [Patient] yeah yeah i've been having a lot of pain of my should... | [
"Personal History"
] | [
"Subjective"
] | 290 |
[Personal History][Doctor] mm-hmm okay have you ever injured that foot before [Patient] yeah no sorry i injured my other foot before not this foot[SEP][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 th... | [
"Therapeutic History"
] | [
"Subjective"
] | 291 |
[Personal History][Doctor] okay , good . and any symptoms like chest pains , shortness of breath , any swelling in your legs ? [Patient] no , not that i've noticed .[SEP][Personal History][Doctor] okay , all right . and then in terms of your depression , i know that we tried to stay off of medication in the past becaus... | [
"Acute Symptoms",
"Vegetative History"
] | [
"Subjective"
] | 292 |
[Acute Symptoms][Doctor] so less than a day . [Patient] yeah .[SEP][Acute Symptoms][Doctor] in severe pain . [Patient] yes .[SEP][Therapeutic History][Doctor] have you taken anything for the pain ? [Patient] i've been taking ibuprofen every six hours i think , but it's really not helping at all .[SEP][Acute Symptoms][D... | [
"Acute Symptoms"
] | [
"Subjective"
] | 293 |
[Discussion][Medication][Doctor] okay do you think you need something stronger than meloxicam [Patient] no i'll give that a shot[SEP][Discussion][Doctor] okay any questions [Patient] when can i get back out on the field[SEP][Discussion][Doctor] well you ca n't play taggle football for a while you have to have this frac... | [
"Discussion"
] | [
"Plan"
] | 294 |
[Acute Symptoms][Doctor] okay do does even light pressure to it bother it like at night when you're laying in bed do the sheets bother [Patient] absolutely i was just gon na say when i'm in bed at night and those sheets come down on it or i roll over yeah that hurts a lot[SEP][Therapeutic History][Doctor] okay have you... | [
"Physical Examination"
] | [
"Objective"
] | 295 |
[Personal History][Doctor] okay so i know you were sent here by your your pcp what was your understanding of why you were sent here [Patient] yeah so i actually have been someone who been struggling with headaches for years now ever since i was a teenager and they used to be around my when i would have my menstrual my ... | [
"Other Socials"
] | [
"Subjective"
] | 296 |
[Physical Examination][Doctor] okay positive pain to palpation and let's bring your leg out are you having pain when with flexion or extension [Patient] a little bit no not not crazy real pain but there is definitely some pain there[SEP][Physical Examination][Doctor] okay pain with flexion and extension and how about t... | [
"Personal History"
] | [
"Subjective"
] | 297 |
[Acute Symptoms][Doctor] okay and then have you experienced any numb numbness or tingling [Patient] no no numbness[SEP][Acute Symptoms][Doctor] okay alright any loss in sensation [Patient] no i mean i i can still feel like i can still feel my foot[SEP][Other Socials][Doctor] okay alright that's good to hear so you were... | [
"Physical Examination"
] | [
"Objective"
] | 298 |
[Physical Examination][Doctor] alright i'm gon na press here on your back [Patient] no pain[SEP][Physical Examination][Diagnostic Testing][Acute Assessment][Doctor] okay so on your abdomen exam of your abdomen i'm showing no tenderness to palpation of the abdomen or tenderness of the the cva either on the right side so... | [
"Medication",
"Other Treatments",
"Reassessment"
] | [
"Assessment",
"Plan"
] | 299 |
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