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[Vegetative History][Doctor] great , great . no numbness or tingling in your hands ? [Patient] no .[SEP][Physical Examination][Doctor] fingers ? okay , good . all right , well , um , lem me do a quick exam if that's okay ? [Patient] okay .[SEP][Physical Examination][Doctor] deep breath . squeeze my fingers for me . fee... | [
"Discussion",
"Follow-up",
"Medication",
"Lab Examination",
"Reassessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,800 |
[Physical Examination][Doctor] can you touch down here ? [Patient] mm-hmm .[SEP][Physical Examination][Lab Examination][Doctor] can you push your leg out ? push this one up . pull it back . yeah , good . okay . so on my exam , um ... your exam's essentially normal , your lungs are clear , are- ... you do n't have any a... | [
"Discussion",
"Follow-up",
"Reassessment"
] | [
"Assessment",
"Plan"
] | 3,801 |
[Discussion][Medication][Doctor] uh , dizziness possibly , as well as , uh , one in 100 guys might develop tenderness in their chest , swollen breasts , or enlarged breasts . this is a rare side effect , um , called gynecomastia , and if it happens , you just cut the medication and you let me know , but it is very unco... | [
"Discussion",
"Follow-up",
"Referral",
"Medication"
] | [
"Plan"
] | 3,802 |
[Discussion][Doctor] all right . so , there they will look into secondary causes of your hypertension . they have access to newer procedure based technologies that can lower your blood pressure without medication , uh , for example , there is something called a renal , uh , denervation , uh , where they go inside the a... | [
"Acute Assessment",
"Medication",
"Diagnostic Testing",
"Follow-up",
"Discussion"
] | [
"Assessment",
"Plan"
] | 3,803 |
[Discussion][Other Treatments][Medication][Doctor] okay , and you can take it , but before you do , we want to try to reduce the triggers . uh , so watch out for greasy or fatty foods and sugary drinks . [Patient] okay , i can do that .[SEP][Discussion][Medication][Doctor] okay . and so , however , if it is not just th... | [
"Vegetative History",
"Personal History",
"Medication",
"Other Treatments",
"Reassessment",
"Follow-up"
] | [
"Assessment",
"Plan",
"Subjective"
] | 3,804 |
[Discussion][Doctor] yep , that's right . [Patient] i do have a question for you though .[SEP][Discussion][Doctor] yeah , of course . [Patient] do you think i will be able to drive again ?[SEP][Discussion][Doctor] ah man , mr . watson , i knew you were gon na ask me that one . i think at this point it's unlikely that y... | [
"Personal History",
"Vegetative History",
"Physical Examination",
"Radiology Examination",
"Reassessment",
"Lab Examination"
] | [
"Assessment",
"Subjective",
"Objective"
] | 3,805 |
[Conversation Start][SEP] | [
"Greetings",
"Therapeutic History",
"Drug History"
] | [
"Subjective"
] | 3,806 |
[Physical Examination][Doctor] okay . well let me get a listen to your heart , go ahead and hop up here . [Patient] okay .[SEP][Physical Examination][Vegetative History][Doctor] use my general exam template . all right , go ahead and take some deep breaths . okay , good . any fever , cough , shortness of breath or sore... | [
"Discussion",
"Other Treatments",
"Reassessment"
] | [
"Assessment",
"Plan"
] | 3,807 |
[Discussion][Follow-up][Medication][Doctor] okay . if this sounds good though , we can go ahead get you started with the shot . i am looking and it looks like we have you coming back in on may 17th for your first shot , does that sound good ? [Patient] yeah , yeah , that sounds great . are there any possible side effec... | [
"Drug History",
"Personal History",
"Physical Examination",
"Acute Assessment",
"Reassessment",
"Medication",
"Follow-up",
"Discussion"
] | [
"Assessment",
"Plan",
"Subjective",
"Objective"
] | 3,808 |
[Acute Symptoms][Doctor] yep . nah , that does sound like a cause for concern . how long have you been with him ? [Patient] hmm , we've been dating for three years .[SEP][Acute Symptoms][Doctor] mm-hmm . [Patient] as far as , i can figure , he started cheating on me , i think , about three months ago .[SEP][Acute Sympt... | [
"Physical Examination",
"Discussion",
"Diagnostic Testing",
"Acute Assessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,809 |
[Physical Examination][Doctor] okay , well come sit over here , and if you could take of your socks and shoes , and we'll take a look at your knee . and just to let you know , i have a service now that writes my note about the visit , so you'll hear me call things out and describe what i see fully . [Patient] okay , go... | [
"Referral",
"Diagnostic Testing",
"Other Treatments"
] | [
"Plan"
] | 3,810 |
[Physical Examination][Doctor] okay , range of motion slightly diminished . i'm going to press here , okay ? and how about here , hmm , i see some pitting around the knee and ankle . normal capillary refill in the toes . does any of this area hurt ? [Patient] um , just kinda sore , like an old bruise ?[SEP][Medication]... | [
"Discussion",
"Medication",
"Other Treatments",
"Diagnostic Testing"
] | [
"Plan"
] | 3,811 |
[Chitchat][Doctor] yeah it's awesome [Patient] i like to get down near the river that's where i i like to catch especially around spring time[SEP][Chitchat][Doctor] that's great yeah next time you come in maybe you can bring in some of your pictures that'd be awesome to see [Patient] okay cool[SEP][Vegetative History][... | [
"Physical Examination",
"Discussion",
"Other Treatments",
"Acute Assessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,812 |
[Personal History][Doctor] okay and any any other surgeries or any other medical problems [Patient] i mean i had a appendicitis so i had an appendectomy[SEP][Physical Examination][Vegetative History][Doctor] okay alright well i'm just gon na go ahead and do a quick physical exam i'm gon na be calling out my exam findin... | [
"Physical Examination",
"Acute Assessment",
"Other Treatments",
"Referral",
"Radiology Examination",
"Medication"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,813 |
[Personal History][Therapeutic History][Doctor] okay and [Patient] and morning when i get up they are around one fifty[SEP][Personal History][Doctor] okay alright so it's been running a little bit high i know we checked your hemoglobin a1c last time and it was about seven . seven . i think and we had talked about you k... | [
"Physical Examination",
"Discussion",
"Diagnostic Testing",
"Reassessment",
"Acute Assessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,814 |
[Personal History][Therapeutic History][Doctor] okay and [Patient] and morning when i get up they are around one fifty[SEP][Personal History][Doctor] okay alright so it's been running a little bit high i know we checked your hemoglobin a1c last time and it was about seven . seven . i think and we had talked about you k... | [
"Discussion",
"Follow-up",
"Medication",
"Diagnostic Testing",
"Reassessment"
] | [
"Assessment",
"Plan"
] | 3,815 |
[Vegetative History][Doctor] so you know it's good [Patient] yeah[SEP][Discussion][Other Treatments][Doctor] alright well so i totally understand like baking and like the excitement of being able to give those to your family but we maybe wan na start cutting down on eating and taste testing ourselves is do you think th... | [
"Discussion",
"Physical Examination",
"Other Treatments"
] | [
"Plan",
"Objective"
] | 3,816 |
[Physical Examination][Doctor] okay so moderate tenderness at the medial epicondyle when you turn like when you turn your wrist is if you're trying to open a door knob do you experience pain [Patient] no not really[SEP][Physical Examination][Doctor] alright so turning out no pain but when you turn your wrist inwards do... | [
"Follow-up",
"Referral",
"Medication",
"Diagnostic Testing",
"Reassessment"
] | [
"Assessment",
"Plan"
] | 3,817 |
[Physical Examination][Doctor] alright so turning out no pain but when you turn your wrist inwards do you have any pain [Patient] yeah[SEP][Physical Examination][Doctor] okay so pain with resisted pronation of right forearm when you rest your arm on a table with the palm side up alright i want you to raise your hand by... | [
"Discussion",
"Radiology Examination"
] | [
"Plan",
"Objective"
] | 3,818 |
[Chitchat][Doctor] yeah okay [Patient] yeah[SEP][Physical Examination][Doctor] 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 caus... | [
"Reassessment",
"Discussion",
"Diagnostic Testing",
"Acute Assessment",
"Other Treatments",
"Referral",
"Medication"
] | [
"Assessment",
"Plan"
] | 3,819 |
[Personal History][Doctor] okay when did you break your toe [Patient] i've broken it three times over the last ten years so it's just something that's a an annoyance but it was n't caused by this injury[SEP][Personal History][Doctor] okay so you do have some numbing and tingling but it's not new [Patient] right correct... | [
"Physical Examination",
"Acute Assessment",
"Other Socials",
"Referral",
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"Medication"
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"Assessment",
"Plan",
"Subjective",
"Objective"
] | 3,820 |
[Physical Examination][Doctor] yeah okay okay roll over here on my my stretcher for me and i want you to dangle your your feet over the edge and what i wan na do is i just wan na i'm gon na squeeze your left calf first and when i do that does that hurt on your left side [Patient] no[SEP][Physical Examination][Doctor] a... | [
"Discussion",
"Medication",
"Referral",
"Acute Assessment"
] | [
"Assessment",
"Plan"
] | 3,821 |
[Vegetative History][Doctor] alright so you've got neuropathy yeah that that that makes sense with the the diabetes so have you had any other symptoms like a fever chills any drainage coming from it [Patient] lately there has been a lot more drainage and i just feel a little more tired[SEP][Other Socials][Doctor] okay ... | [
"Discussion",
"Radiology Examination",
"Diagnostic Testing",
"Acute Assessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,822 |
[Vegetative History][Doctor] what are you for her toppings on pizza [Patient] pepperoni occasionally vegetables[SEP][Vegetative History][Doctor] mm-hmm alright but you know that pepperoni is pretty high in salt on top of a cheesy pizza right [Patient] i know i know i'm gon na work on it[SEP][Personal History][Doctor] o... | [
"Physical Examination",
"Discussion",
"Referral",
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"Radiology Examination",
"Diagnostic Testing",
"Reassessment",
"Acute Assessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,823 |
[Personal History][Therapeutic History][Doctor] yeah yeah you are on a fair amount of medications you know we do have you on those medications because you did have a heart attack about six months ago they put that that stent into your left anterior descending artery and so that's a major artery on the left side of your... | [
"Referral",
"Medication",
"Diagnostic Testing"
] | [
"Plan"
] | 3,824 |
[Medication][Therapeutic History][Doctor] you get you get dizzy okay yeah you know we do have you on a what we call a beta-blocker metoprolol i think your dose is fifty milligrams once a day and you know sometimes it takes a little bit for your body to adjust to that but yes if you stand up too quickly it can cause you... | [
"Referral",
"Vegetative History"
] | [
"Plan",
"Subjective"
] | 3,825 |
[Referral][Medication][Diagnostic Testing][Doctor] no i mean every so often the stents can become narrowed again but you know that's why you're seeing me your cardiologist so that i can follow you for that now if you start to have symptoms again of any chest pain like you had before or any shortness of breath when you ... | [
"Other Treatments",
"Lab Examination"
] | [
"Plan",
"Objective"
] | 3,826 |
[Discussion][Medication][Doctor] you can take tylenol [Patient] okay[SEP][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 s... | [
"Referral",
"Medication",
"Reassessment"
] | [
"Assessment",
"Plan"
] | 3,827 |
[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",
"Medication",
"Diagnostic Testing",
"Reassessment"
] | [
"Assessment",
"Plan"
] | 3,828 |
[Acute Symptoms][Vegetative History][Doctor] okay alright understood you've not had any fever with that pain have you [Patient] no i have n't[SEP][Personal History][Doctor] okay alright and so how about your diabetes how's your diabetes been doing how your blood sugars been what low one hundreds two hundreds where wher... | [
"Physical Examination",
"Discussion",
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"Medication",
"Other Treatments",
"Diagnostic Testing",
"Reassessment",
"Acute Assessment",
"Drug History"
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"Assessment",
"Plan",
"Subjective",
"Objective"
] | 3,829 |
[Personal History][Therapeutic History][Doctor] okay that's good alright so we'll we'll do a physical exam on that elbow we'll take a look at it in a second but i do wan na talk to you about your your hypertension you came in today i know you have past medical history of hypertension came in today your blood pressure's... | [
"Medication",
"Diagnostic Testing",
"Vegetative History"
] | [
"Plan",
"Subjective"
] | 3,830 |
[Personal History][Doctor] okay and your blood sugars how have they been [Patient] since i do n't take insulin i do n't check it everyday when i have checked it it's usually running somewhere between eighty to a hundred[SEP][Medication][Diagnostic Testing][Vegetative History][Doctor] okay yeah that's that's really good... | [
"Discussion",
"Medication",
"Other Treatments",
"Radiology Examination",
"Diagnostic Testing",
"Reassessment",
"Acute Assessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,831 |
[Personal History][Therapeutic History][Doctor] okay well that's good to hear so have you been watching your diet too and taking taking your pills since you've been home [Patient] yeah i've been doing just what they told me to do because i do n't wan na go back to the hospital[SEP][Personal History][Doctor] okay alrigh... | [
"Medication",
"Other Treatments",
"Radiology Examination",
"Reassessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,832 |
[Chitchat][Doctor] well you i guess you'll be watching it for a while instead of playing it though [Patient] i well i hope not not for too long[SEP][Acute Symptoms][Doctor] yeah we'll we'll see what we can do just to get you back out there again okay so tell me have you experienced any kind of numbness in your foot at ... | [
"Physical Examination",
"Acute Assessment",
"Other Treatments",
"Radiology Examination"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,833 |
[Vegetative History][Doctor] okay you know if your friends come over if they smoke too or what okay [Patient] nope[SEP][Family History][Doctor] okay now tell me is there any history at all of like maybe heart disease or sudden death you know like early early in those your family's years [Patient] well come to think of ... | [
"Physical Examination",
"Referral",
"Other Treatments",
"Diagnostic Testing",
"Reassessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,834 |
[Acute Symptoms][Doctor] okay and how long have you been having this [Patient] probably maybe three months[SEP][Acute Symptoms][Therapeutic History][Doctor] okay and what seemed to bring it on anything exacerbated or relieve it [Patient] it mainly happens when i'm walking i like to try and walk but lately i just have n... | [
"Personal History",
"Therapeutic History",
"Lab Examination"
] | [
"Subjective",
"Objective"
] | 3,835 |
[Personal History][Vegetative History][Doctor] okay got it and any nausea vomiting or diarrhea or anything like that with your diabetes or any side effects from your medications the metformin [Patient] no[SEP][Personal History][Therapeutic History][Doctor] okay alright good and i saw also there was a record in your i w... | [
"Physical Examination",
"Discussion",
"Referral",
"Medication",
"Diagnostic Testing",
"Acute Assessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,836 |
[Discussion][Medication][Other Treatments][Doctor] yeah me too but we we can we can definitely you know get you started on some monitoring devices for that and also maybe start you on some some diet control things that we can do to help with the blood pressure and maybe start you on some blood pressure medications if w... | [
"Discussion",
"Follow-up",
"Medication",
"Other Treatments",
"Reassessment"
] | [
"Assessment",
"Plan"
] | 3,837 |
[Physical Examination][Doctor] okay so there is midline tenderness at the l4 l5 disk space with right sided lumbar paravertebral tenderness alright so are you able to bend forward [Patient] yes[SEP][Physical Examination][Doctor] alright and are you able to bend backward [Patient] yes[SEP][Physical Examination][Doctor] ... | [
"Discussion",
"Medication",
"Radiology Examination",
"Diagnostic Testing",
"Acute Assessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,838 |
[Acute Symptoms][Therapeutic History][Doctor] alright and has the has the ibuprofen been helping you at all [Patient] i ca n't take ibuprofen[SEP][Acute Symptoms][Therapeutic History][Doctor] i mean i'm sorry the tylenol [Patient] no it's okay but the tylenol it helps like a little bit but you know like it's it's got l... | [
"Discussion",
"Medication",
"Other Treatments",
"Acute Assessment"
] | [
"Assessment",
"Plan"
] | 3,839 |
[Personal History][Doctor] then in terms of your depression , how are you doing ? i know that we did n't start you on medication , since you're on a bunch of other medications . what- what are your strategies for dealing with that and how are you doing ? [Patient] so last year i started therapy and i've been going once... | [
"Physical Examination",
"Reassessment"
] | [
"Assessment",
"Objective"
] | 3,840 |
[Physical Examination][Doctor] hey , dragon , show me the blood pressure . so , yeah , looking at your blood pressure today here in the office , it does look a little elevated still , so we'll have to talk about that . so i'm just gon na listen to your heart and your lungs and we'll go from there okay ? [Patient] okay ... | [
"Discussion",
"Follow-up",
"Medication",
"Reassessment"
] | [
"Assessment",
"Plan"
] | 3,841 |
[Therapeutic History][Doctor] okay and everything's working out well with the protonix ? [Patient] yes .[SEP][Personal History][Doctor] okay . and then i know you had the cataract surgery about three months ago , your vision is okay ? [Patient] that was about four and a half months ago and it's been actually great ever... | [
"Acute Assessment",
"Lab Examination",
"Medication"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,842 |
[Physical Examination][Doctor] all right . okay . all right . so , on physical exam , you know , i , i do n't appreciate anything cervical lymphadenopathy . your heart sounds really good , but i do hear a , a slight two out of six systolic heart , uh , murmur , um , systolic ejection murmur on your heart exam . your lu... | [
"Referral",
"Medication",
"Reassessment",
"Drug History"
] | [
"Assessment",
"Plan",
"Subjective"
] | 3,843 |
[Acute Symptoms][Vegetative History][Doctor] 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 one... | [
"Reassessment",
"Diagnostic Testing",
"Radiology Examination",
"Medication"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,844 |
[Other Socials][Doctor] okay . all right . and you're able to exercise ? [Patient] yes .[SEP][Other Socials][Doctor] okay . before you got sick . [Patient] that's correct . that's correct .[SEP][Physical Examination][Doctor] okay . all right . well , let's go ahead , i want to do a quick physical exam . okay ? [Patient... | [
"Reassessment",
"Acute Assessment",
"Lab Examination"
] | [
"Assessment",
"Objective"
] | 3,845 |
[Other Socials][Doctor] okay . before you got sick . [Patient] that's correct . that's correct .[SEP][Physical Examination][Doctor] okay . all right . well , let's go ahead , i want to do a quick physical exam . okay ? [Patient] you got it .[SEP][Physical Examination][Doctor] hey dragon , show me the vital signs . so ,... | [
"Therapeutic History",
"Acute Assessment",
"Other Treatments"
] | [
"Assessment",
"Plan",
"Subjective"
] | 3,846 |
[Physical Examination][Doctor] hey dragon , show me the vital signs . so , here it ... your vital signs look great . your oxygenation is 96 % . so that's very good . okay ? uh , i'm just going to check out your heart and lungs , and i'll let you know what i find . okay ? [Patient] sure .[SEP][Physical Examination][Acut... | [
"Reassessment",
"Diagnostic Testing",
"Follow-up",
"Other Treatments",
"Medication"
] | [
"Assessment",
"Plan"
] | 3,847 |
[Acute Symptoms][Personal History][Doctor] 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 . [Patient] so , uh , i got some re- routine blood work done last week and ,... | [
"Acute Symptoms",
"Reassessment",
"Lab Examination"
] | [
"Assessment",
"Subjective",
"Objective"
] | 3,848 |
[Therapeutic History][Doctor] we've been , kind of , checking on this for a while and you've been on metformin . we actually increased your dose last time- [Patient] yup .[SEP][Therapeutic History][Doctor] so right now you're on 100 , 1,000 milligrams a day , correct ? [Patient] correct . yup .[SEP][Acute Symptoms][Doc... | [
"Acute Symptoms",
"Reassessment"
] | [
"Assessment",
"Subjective"
] | 3,849 |
[Acute Symptoms][Other Socials][Doctor] and you're pretty physically active and doing exercises ? [Patient] yeah . i've been power walking about , at least 30 minutes every day .[SEP][Acute Symptoms][Physical Examination][Doctor] okay . great . well , let's review , uh , some of your vital signs . hey , dragon , show m... | [
"Physical Examination",
"Discussion",
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"Acute Assessment",
"Follow-up",
"Other Treatments",
"Medication"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,850 |
[Acute Symptoms][Physical Examination][Doctor] okay . great . well , let's review , uh , some of your vital signs . hey , dragon , show me the vitals . all right . blood pressure looks good right now . your oxygen level's great . uh , your temperature's good . so i know you checked in with the review of systems with my... | [
"Reassessment",
"Follow-up",
"Other Treatments"
] | [
"Assessment",
"Plan"
] | 3,851 |
[Chitchat][Doctor] and i'll let you know what i find . okay ? [Patient] okay .[SEP][Physical Examination][Acute Assessment][Doctor] okay . good . all right . so , on physical examination , i , i do n't hear any carotid bruits in your neck , which is really good . you know , your heart exam , i do hear a slight 2/6 syst... | [
"Reassessment",
"Discussion",
"Other Treatments",
"Medication"
] | [
"Assessment",
"Plan"
] | 3,852 |
[Physical Examination][Doctor] hey dragon . show me the vital signs . so here in the office . i agree . your blood pressure looks good . uh , i think you're doing a good job with that so keep up the good work . i'm gon na go ahead and take a listen to your heart and lungs , i'll let you know what i find . [Patient] sur... | [
"Reassessment",
"Discussion",
"Lab Examination"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,853 |
[Acute Assessment][Doctor] all right . so on physical examination , everything looks pretty good , so on your neck exam , i do n't appreciate any carotid bruits . on your heart exam i do appreciate a slight two out of six systolic ejection murmur heard at the left base , which we've heard in the past . [Patient] mm-hmm... | [
"Acute Assessment",
"Referral"
] | [
"Assessment",
"Plan"
] | 3,854 |
[Acute Symptoms][Doctor] okay . and do you experience any loss of sensation in your hands or fingers ? [Patient] uh , like , like feeling something ? no , not that i can think of really . in general , they might be less sensitive than they should be , but i can still feel . they gave me some nerve pain medicine , but i... | [
"Physical Examination",
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"Personal History",
"Other Treatments",
"Referral",
"Vegetative History"
] | [
"Assessment",
"Plan",
"Subjective",
"Objective"
] | 3,855 |
[Personal History][Doctor] okay . have you ever had an upper endoscopy ? [Patient] i think maybe when i was younger .[SEP][Personal History][Doctor] but not in the last 10 years ? [Patient] no .[SEP][Therapeutic History][Doctor] have you ever tried any medication other than omeprazole ? [Patient] um , at one point i wa... | [
"Discussion",
"Personal History",
"Medication",
"Reassessment"
] | [
"Assessment",
"Plan",
"Subjective"
] | 3,856 |
[Personal History][Doctor] but not in the last 10 years ? [Patient] no .[SEP][Therapeutic History][Doctor] have you ever tried any medication other than omeprazole ? [Patient] um , at one point i was on omeprazole and ranititine -dine . it did help . but other than that , those are the only medications i have taken .[S... | [
"Other Treatments",
"Reassessment"
] | [
"Assessment",
"Plan"
] | 3,857 |
[Other Treatments][Reassessment][Doctor] and you've identified trigger foods like spicy foods , carbonated bev- beverages , citrus , and tomato-based foods , but you have n't cut these foods out of your diet completely yet . so the first thing i'd try is changing your diet because these foods can exacerbate your gerd ,... | [
"Discussion",
"Medication",
"Diagnostic Testing",
"Reassessment",
"Vegetative History"
] | [
"Assessment",
"Plan",
"Subjective"
] | 3,858 |
[Physical Examination][Doctor] good . let me take a quick listen to you . [Patient] okay .[SEP][Physical Examination][Doctor] all right . go ahead and take a few deep breaths . and breathe normally . now take several deep breaths . and two more . okay , good . you can relax . any pain or discomfort anywhere ? [Patient]... | [
"Diagnostic Testing",
"Follow-up",
"Referral"
] | [
"Plan"
] | 3,859 |
[Discussion][Medication][Doctor] well , my thoughts are that you actually should be vaccinated . i think you are high risk . if you get covid it's not going to be good for you . [Patient] okay .[SEP][Discussion][Medication][Doctor] and i think it's safe . i mean , i understand and hear you . all of these stories out th... | [
"Therapeutic History",
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] | [
"Plan",
"Subjective"
] | 3,860 |
[Discussion][Doctor] yeah . right now the numbers are low . even with the delta variant , when it starts mutating , it's actually good because it becomes more contagious , but less deadly . [Patient] okay .[SEP][Discussion][Doctor] so that's what's gon na happen with covid . that's what's mo- most of the science suppor... | [
"Personal History",
"Therapeutic History",
"Lab Examination",
"Diagnostic Testing",
"Follow-up"
] | [
"Plan",
"Subjective",
"Objective"
] | 3,861 |
[Discussion][Doctor] yeah , those , um , are the types of , of jobs that take a good three months until you're kind of ready to get back to doing that kind of labor-intensive work . [Patient] okay , and driving now ?[SEP][Discussion][Doctor] uh , we have plenty of data that says normal reflex time is returned at six we... | [
"Physical Examination",
"Radiology Examination",
"Reassessment"
] | [
"Assessment",
"Objective"
] | 3,862 |
[Personal History][Doctor] goodness . okay . then what happened ? [Patient Guest] yeah . so i took her back again and they did more testing . i think they did an ultrasound or something , and that's where they found that one kidney was bigger .[SEP][Personal History][Doctor] okay . [Patient Guest] um , then at that tim... | [
"Acute Symptoms",
"Personal History",
"Chitchat"
] | [
"Null",
"Subjective"
] | 3,863 |
[Acute Symptoms][Personal History][Chitchat][Doctor] okay . i am so sorry for all of that back and forth , but glad to know that there was some light at the end of that tunnel . [Patient Guest] thank you . and then after they saw her , she did seem to get a little better . she has n't had any more throwing up or anythi... | [
"Therapeutic History",
"Chitchat"
] | [
"Null",
"Subjective"
] | 3,864 |
[Physical Examination][Doctor] okay so no pain with flexion how about if you stand back up [Patient] no[SEP][Physical Examination][Doctor] okay no pain with extension either does it hurt while you're just standing here [Patient] yes[SEP][Physical Examination][Doctor] okay so pain when you're weightbearing does it hurt ... | [
"Acute Assessment",
"Other Treatments",
"Radiology Examination"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,865 |
[Chitchat][Doctor] uh okay so do you have a favorite restaurant you like to go to [Patient] i do mcdonalds is one of my favorite here in arlington[SEP][Chitchat][Doctor] that sounds good what what do you what's your favorite there [Patient] they have a great egg plant parmajon one of my favorite so i just go ahead and ... | [
"Physical Examination",
"Discussion",
"Acute Assessment",
"Medication"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,866 |
[Chitchat][Doctor] no it's not at north point [Patient] maybe i do n't know[SEP][Chitchat][Doctor] do you or do you like going to colorado [Patient] hmmm kind of a time[SEP][Vegetative History][Doctor] okay alright okay alright well let's go ahead and do a quick physical exam okay so i looked here at your vital signs a... | [
"Physical Examination",
"Radiology Examination",
"Acute Assessment"
] | [
"Assessment",
"Objective"
] | 3,867 |
[Chitchat][Doctor] do you or do you like going to colorado [Patient] hmmm kind of a time[SEP][Vegetative History][Doctor] okay alright okay alright well let's go ahead and do a quick physical exam okay so i looked here at your vital signs and have you had any fever chills or anything like that since this happened [Pati... | [
"Discussion",
"Medication",
"Other Treatments",
"Referral",
"Diagnostic Testing",
"Acute Assessment"
] | [
"Assessment",
"Plan"
] | 3,868 |
[Discussion][Medication][Doctor] okay alright so it's really gon na be really important for you to go ahead and continue to take these medications to prevent that stent from clogging again okay or prevent that stent from closing because we do n't want you to have another heart attack okay [Patient] okay yeah[SEP][Perso... | [
"Physical Examination",
"Discussion",
"Medication",
"Radiology Examination",
"Diagnostic Testing",
"Reassessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,869 |
[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] look at the x-rays do you or just stop here you can okay okay and so what would what would happen now you would you could pa... | [
"Discussion",
"Diagnostic Testing",
"Other Treatments"
] | [
"Plan"
] | 3,870 |
[Personal History][Doctor] okay that's not [Patient] average[SEP][Therapeutic History][Doctor] that's not too bad you might have a little white coat syndrome you seeing me today because it's a little bit high today so you're on that two . five of norvasc have you been taking that [Patient] yes[SEP][Personal History][Do... | [
"Discussion",
"Medication",
"Diagnostic Testing",
"Vegetative History"
] | [
"Plan",
"Subjective"
] | 3,871 |
[Personal History][Doctor] okay got it and how about your blood pressure how has that been running at home are you checking your blood pressures daily still and how how your how how have your blood pressures been [Patient] i have not been checking them daily i i probably check it about two or three times a week[SEP][Di... | [
"Physical Examination",
"Referral",
"Diagnostic Testing",
"Acute Assessment",
"Vegetative History"
] | [
"Assessment",
"Plan",
"Subjective",
"Objective"
] | 3,872 |
[Discussion][Medication][Therapeutic History][Doctor] okay okay not not too bad it does look like you're a little bit elevated today i i maybe i'm just making you nervous though so i hope not so are you but you're still on lisinopril twenty milligrams per day correct it looks like you might be running low do you need a... | [
"Discussion",
"Medication",
"Other Treatments",
"Reassessment",
"Drug History"
] | [
"Assessment",
"Plan",
"Subjective"
] | 3,873 |
[Therapeutic History][Doctor] alright well we we definitely got ta got ta get your your diet a little bit better i know after the pandemic a lot of people you know went crazy with the diet myself included but i know we got ta get you get back in because for your diabetes i'm looking at your a1c and we we checked it and... | [
"Physical Examination",
"Medication",
"Other Treatments",
"Radiology Examination",
"Diagnostic Testing",
"Acute Assessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,874 |
[Personal History][Doctor] okay so yeah we definitely got ta get you to to take it we could try something else just if you're having interaction with that medication what about your blood sugars are they taking those daily [Patient] no every once in a while[SEP][Personal History][Doctor] every once in a while what have... | [
"Discussion",
"Follow-up",
"Referral",
"Medication",
"Other Treatments",
"Reassessment"
] | [
"Assessment",
"Plan"
] | 3,875 |
[Therapeutic History][Doctor] okay great great you're still using that pill box that we suggested i think you had a pretty good system going there maybe maybe you're using that app now to take to keep track of one when to take your medicine are you doing that [Patient] yes yeah i've i've used the pillbox and then tried... | [
"Physical Examination",
"Discussion",
"Follow-up",
"Medication",
"Diagnostic Testing",
"Reassessment",
"Acute Assessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,876 |
[Vegetative History][Doctor] okay and have you had any congestion anything like that cough runny nose [Patient] yeah i thought maybe because you know now it's springtime and i tend to get my allergies but it it's it's very different and i've not actually had any like runny nose or cough or congestion along with the hea... | [
"Physical Examination",
"Medication",
"Reassessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,877 |
[Physical Examination][Doctor] okay if you tap on your forehead do you have any tenderness [Patient] right here[SEP][Physical Examination][Doctor] okay if you tap down here on these bones your cheek bones any tenderness there [Patient] a little bit not as much as i guess if i tap up here[SEP][Physical Examination][Doct... | [
"Discussion",
"Referral",
"Diagnostic Testing",
"Reassessment"
] | [
"Assessment",
"Plan"
] | 3,878 |
[Personal History][Doctor] okay so there is a smoker at home you know that does that does affect you so we might have to have a conversation with your brother and anybody else but it's good to know that people are n't sick i do see here though that you have kind of a a history of recurrent strep like you you seem to be... | [
"Discussion",
"Referral",
"Diagnostic Testing",
"Acute Assessment"
] | [
"Assessment",
"Plan"
] | 3,879 |
[Personal History][Therapeutic History][Doctor] okay every other day alright and then are you also now i know you also have some diabetes so are you how are you doing with that one are you pretty much taking your metformin everyday [Patient] hmmm i probably take it when i take my other medicine like every other day[SEP... | [
"Physical Examination",
"Discussion",
"Follow-up",
"Medication",
"Other Treatments",
"Acute Assessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,880 |
[Chitchat][Doctor] it was amazing my wife and i went over there the other day and when we walked downstairs it was like i was walking into a scene out of saprano's [Patient] mm-hmm[SEP][Chitchat][Doctor] but the food was amazing it was the best egg plant parmer's john i've i've ever had where really super excited about... | [
"Therapeutic History",
"Physical Examination"
] | [
"Subjective",
"Objective"
] | 3,881 |
[Chitchat][Doctor] it was amazing my wife and i went over there the other day and when we walked downstairs it was like i was walking into a scene out of saprano's [Patient] mm-hmm[SEP][Chitchat][Doctor] but the food was amazing it was the best egg plant parmer's john i've i've ever had where really super excited about... | [
"Physical Examination",
"Acute Assessment",
"Medication"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,882 |
[Vegetative History][Doctor] no fever alright what about any other symptoms like any body aches any sore throat sinus pain [Patient] well i mean now that you mentioned it like every time i swallow it hurts it does n't feel like i have a cold because it hurts down here more in my chest but every time i swallow it it's r... | [
"Physical Examination",
"Medication",
"Therapeutic History",
"Radiology Examination",
"Reassessment",
"Other Treatments"
] | [
"Assessment",
"Plan",
"Subjective",
"Objective"
] | 3,883 |
[Vegetative History][Doctor] okay so when you are swallowing i know some of my patients feel this do you feel like the food is getting stuck [Patient] no the food is not getting stuck it just hurts[SEP][Vegetative History][Doctor] okay what about when you're you're taking liquids are you able to take in both hydrocort ... | [
"Discussion",
"Medication",
"Other Treatments",
"Reassessment"
] | [
"Assessment",
"Plan"
] | 3,884 |
[Personal History][Doctor] okay alright and i'm reading here it looks like you've had them before as well right [Patient] i have yeah i passed some by myself and i've had to have surgery a couple of times as well[SEP][Personal History][Doctor] okay so the ones that you passed by yourself how many days would you say it ... | [
"Physical Examination",
"Discussion",
"Medication",
"Radiology Examination",
"Reassessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,885 |
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