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1,DOCTOR,"Good morning, Ms. Delgado. What brings you in today?","Good morning, Mrs. Delgado. What brings you in today?"
2,PATIENT,"Good morning, doctor. My feet have been tingling at night for about three weeks, and I feel tired all the time.","Good morning, doctor. My feet have been tingling at night for about three weeks, and I feel tired all the time."
3,DOCTOR,Any chest pain or shortness of breath?,any chest pain or shortness of breath.
4,PATIENT,"No chest pain. I get a little winded on the stairs, but that is not new.","No chest pain. I get a little winded on the stairs, but that is not new."
5,DOCTOR,Are you still taking your metformin?,Are you still taking your Metformin?
6,PATIENT,"Yes, 500 milligrams twice a day.","Yes, 500 milligrams twice a day."
7,PATIENT,"But I stopped the glipizide last month, because it made me shaky.","But I stopped the glipizade last month, because it made me shaky."
8,DOCTOR,Did you check your sugar when you felt shaky?,Did you check your sugar when you felt shaky?
9,PATIENT,Once. My meter said sixty-two.,"Once, my meter said 62."
10,DOCTOR,Do you have any allergies to medicines?,Do you have any allergies to medicines?
11,PATIENT,Sulfa drugs give me a rash.,Sulfa drugs give me a rash.
12,PATIENT,"Oh, and my grandson's baseball team won on Saturday, so I have been on my feet a lot.","Oh, and my grandson's baseball team won on Saturday, so I have been on my feet a lot."
13,DOCTOR,Congratulations. Your blood pressure today is 148 over 92.,Congratulations. Your blood pressure today is 148 over 92.
14,DOCTOR,And your A1c came back at 8.1.,and your IAC came back at 8.1.
15,PATIENT,That is higher than last time.,that is higher than last time.
16,DOCTOR,"On exam, you have reduced sensation in both feet with the monofilament. Your foot pulses are normal.","On exam, you have reduced sensation in both feet with a monofilament. Your foot pulses are normal."
17,DOCTOR,"I think the tingling is diabetic neuropathy, and your blood pressure is not at goal.","I think the tingling is diabetic neuropathy, and your blood pressure is not at goal."
18,DOCTOR,"Let's increase your lisinopril from ten to twenty milligrams daily, and stay off the glipizide.",Let's increase your lisenalprol from 10 to 20 milligrams daily and stay off the glipizide.
19,DOCTOR,"I will order a kidney function panel and a urine albumin test, and I am referring you to podiatry.","I will order a kidney function panel and a urine albumin test, and I am referring you to Podiatry."
20,PATIENT,Should I keep checking my sugar every morning?,Should I keep checking my sugar every morning?
21,DOCTOR,"Yes, every morning, and write down anything under seventy. I would like to see you back in four weeks.","Yes, every morning, and write down anything under seventy. I would like to see you back in four weeks."
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