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Hi Doc, I feel like I am all of the sudden having trouble starting to pee? So it started on Monday. I can hold my urine just fine. But when I need to start peeing, it just feels hard to start --- almost like I am not in my normal control of the relevant muscles down there? Its starting to worry me a bit and I just wanted to let you know.
###Demographics### Age: Between 70 - 75 Gender: Female ###Full Active Problem List###: H/O non-ST elevation myocardial infarction (NSTEMI) - Arthritis, low back - HFrEF (heart failure with reduced ejection fraction) - Essential hypertension - DOE (dyspnea on exertion) - Pre-diabetes - Primary osteoarthritis of right hip - Pain in right hip - Low back pain, non-specific - Hyperlipidemia ###Recent Encounters (Max 10)### Diagnoses (Past Year): Cough, persistent - Spasmodic cough - Hyperlipidemia, unspecified hyperlipidemia type - Hypertension, unspecified type - Dyspnea, unspecified type - Cardiomyopathy, unspecified type - Thrombophilia - Chronic cough - Fatigue, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -SPIRONOLACTONE 25 MG TABLET -LISINOPRIL 40 MG TABLET -ATORVASTATIN 40 MG TABLET -BENZONATATE 100 MG CAPSULE -ASPIRIN 81 MG CHEWABLE TABLET -METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR -CHLORTHALIDONE 25 MG TABLET -INHALATIONAL SPACING DEVICE -FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION -PREDNISONE 10 MG TABLET
Dr, Quick question -> My period was due 5 days ago and it hasn't come yet. I haven't had any other symptoms and I am definitely not pregnant Is there anything else I should be worried about?
###Demographics### Age: Between 35 - 40 Gender: Female ###Full Active Problem List###: Pseudotumor cerebri - Multigravida of advanced maternal age in third trimester - Astigmatism of both eyes - Adjustment disorder with depressed mood - Subjective vision disturbance - Class 1 obesity in adult - History of insulin controlled gestational diabetes mellitus - Glaucoma high risk - Pedal edema ###Recent Encounters (Max 10)### Diagnoses (Past Year): Class 1 obesity with body mass index (BMI) of 34.0 to 34.9 in adult, unspecified obesity type, unspecified whether serious comorbidity present - Post partum depression - Gestational diabetes mellitus (GDM) in third trimester, gestational diabetes method of control unspecified - Multigravida of advanced maternal age in second trimester - Diet controlled gestational diabetes mellitus (GDM) in third trimester - Astigmatism of both eyes, unspecified type - Elevated glucose tolerance test - Frank breech presentation, single or unspecified fetus Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -VALACYCLOVIR 500 MG TABLET -SERTRALINE 50 MG TABLET Recently Ended Within 30-Days of Message: -IBUPROFEN 800 MG TABLET -MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET -POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET -RIBOFLAVIN (VITAMIN B2) 100 MG TABLET
Patient #1
Hi Doc, I feel like I am all of the sudden having trouble starting to pee? So it started on Monday. I can hold my urine just fine. But when I need to start peeing, it just feels hard to start --- almost like I am not in my normal control of the relevant muscles down there? Its starting to worry me a bit and I just wanted to let you know.
###Demographics### Age: Between 70 - 75 Gender: Female ###Full Active Problem List###: H/O non-ST elevation myocardial infarction (NSTEMI) - Arthritis, low back - HFrEF (heart failure with reduced ejection fraction) - Essential hypertension - DOE (dyspnea on exertion) - Pre-diabetes - Primary osteoarthritis of right hip - Pain in right hip - Low back pain, non-specific - Hyperlipidemia ###Recent Encounters (Max 10)### Diagnoses (Past Year): Cough, persistent - Spasmodic cough - Hyperlipidemia, unspecified hyperlipidemia type - Hypertension, unspecified type - Dyspnea, unspecified type - Cardiomyopathy, unspecified type - Thrombophilia - Chronic cough - Fatigue, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -SPIRONOLACTONE 25 MG TABLET -LISINOPRIL 40 MG TABLET -ATORVASTATIN 40 MG TABLET -BENZONATATE 100 MG CAPSULE -ASPIRIN 81 MG CHEWABLE TABLET -METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR -CHLORTHALIDONE 25 MG TABLET -INHALATIONAL SPACING DEVICE -FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION -PREDNISONE 10 MG TABLET
Hi Doctor, So I am having some unexpected bleeding I need to chat with you about. I had sex with my girlfriend last night and I'm not sure if this is normal but I was just wondering if I should go to the doctor because I'm bleeding like I have my period. It doesn't seem heavy but it started right after we finished having sex. Is this cause for concern? Also, I need to update my physical address in the system. Can I do this over the portal? Thanks.
###Demographics### Age: Between 30 - 35 Gender: Female ###Full Active Problem List###: Health care maintenance - Subclinical hypothyroidism - Acanthosis nigricans - BMI 38.0-38.9,adult - Left knee pain - Mixed hyperlipidemia - Infertility management - Rh negative, antepartum - Prenatal care ###Recent Encounters (Max 10)### Diagnoses (Past Year): Prenatal care in second trimester - History of infertility - History of miscarriage - Pregnancy of unknown anatomic location - Male factor infertility - Pregnancy, unspecified gestational age - Prenatal care in first trimester - BMI 40.0-44.9, adult Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): *No Active Medications*
Patient #2
Hi Doc, I feel like I am all of the sudden having trouble starting to pee? So it started on Monday. I can hold my urine just fine. But when I need to start peeing, it just feels hard to start --- almost like I am not in my normal control of the relevant muscles down there? Its starting to worry me a bit and I just wanted to let you know.
###Demographics### Age: Between 70 - 75 Gender: Female ###Full Active Problem List###: H/O non-ST elevation myocardial infarction (NSTEMI) - Arthritis, low back - HFrEF (heart failure with reduced ejection fraction) - Essential hypertension - DOE (dyspnea on exertion) - Pre-diabetes - Primary osteoarthritis of right hip - Pain in right hip - Low back pain, non-specific - Hyperlipidemia ###Recent Encounters (Max 10)### Diagnoses (Past Year): Cough, persistent - Spasmodic cough - Hyperlipidemia, unspecified hyperlipidemia type - Hypertension, unspecified type - Dyspnea, unspecified type - Cardiomyopathy, unspecified type - Thrombophilia - Chronic cough - Fatigue, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -SPIRONOLACTONE 25 MG TABLET -LISINOPRIL 40 MG TABLET -ATORVASTATIN 40 MG TABLET -BENZONATATE 100 MG CAPSULE -ASPIRIN 81 MG CHEWABLE TABLET -METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR -CHLORTHALIDONE 25 MG TABLET -INHALATIONAL SPACING DEVICE -FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION -PREDNISONE 10 MG TABLET
Weird thing happening to me. I get these sudden hot flashes like, my body gets super sweaty and my heart starts racing. I have NEVER had this happen before and its really freaking me out. The first time it happened I thought "Do I have a fever?" but nope, no fever. ANd they dont stay too long and I get very cold after. The last time it happened I tried to take some tylenol right away but that did not seem to set-in in time. Anyway, would really like to come in this week. Please let me know your availability as I cannot continue to live like this.
###Demographics### Age: Between 45 - 50 Gender: Female ###Full Active Problem List###: History of colitis - Iron deficiency anemia - Chronic ulcerative proctitis - Tachycardia - Diarrhea - Type 2 diabetes mellitus without complication - SOB (shortness of breath) - DUB (dysfunctional uterine bleeding) - Depression - Cystic acne - Diabetes mellitus - Obesity - Sepsis - Migraine headache - Hyperlipidemia - History of gastric bypass - Sarcoidosis - Peptic ulcer - Insomnia - Gastroesophageal reflux disease - Moderate major depression - Dyspepsia - Crohn's disease - Anemia - Cough ###Recent Encounters (Max 10)### Diagnoses (Past Year): Gastroesophageal reflux disease, unspecified whether esophagitis present - Mild anemia - Hyperlipidemia, unspecified hyperlipidemia type - Insomnia, unspecified type - Depression, unspecified depression type - Right-sided chest wall pain - Mixed hyperlipidemia Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -PREDNISONE 20 MG TABLET -CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET -AMITRIPTYLINE 75 MG TABLET -FLUOXETINE 40 MG CAPSULE -AMITRIPTYLINE 50 MG TABLET -FERROUS SULFATE 325 MG (65 MG IRON) TABLET -FREESTYLE LIBRE 2 SENSOR KIT -AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET -OZEMPIC 1 MG/DOSE (4 MG/3 ML) SUBCUTANEOUS PEN INJECTOR -PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE
Patient #2
Hi Doc, I feel like I am all of the sudden having trouble starting to pee? So it started on Monday. I can hold my urine just fine. But when I need to start peeing, it just feels hard to start --- almost like I am not in my normal control of the relevant muscles down there? Its starting to worry me a bit and I just wanted to let you know.
###Demographics### Age: Between 70 - 75 Gender: Female ###Full Active Problem List###: H/O non-ST elevation myocardial infarction (NSTEMI) - Arthritis, low back - HFrEF (heart failure with reduced ejection fraction) - Essential hypertension - DOE (dyspnea on exertion) - Pre-diabetes - Primary osteoarthritis of right hip - Pain in right hip - Low back pain, non-specific - Hyperlipidemia ###Recent Encounters (Max 10)### Diagnoses (Past Year): Cough, persistent - Spasmodic cough - Hyperlipidemia, unspecified hyperlipidemia type - Hypertension, unspecified type - Dyspnea, unspecified type - Cardiomyopathy, unspecified type - Thrombophilia - Chronic cough - Fatigue, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -SPIRONOLACTONE 25 MG TABLET -LISINOPRIL 40 MG TABLET -ATORVASTATIN 40 MG TABLET -BENZONATATE 100 MG CAPSULE -ASPIRIN 81 MG CHEWABLE TABLET -METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR -CHLORTHALIDONE 25 MG TABLET -INHALATIONAL SPACING DEVICE -FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION -PREDNISONE 10 MG TABLET
I got my period on Sunday morning. It was heavy at first and now it's lighter but there is a big chunk of blood in it. Is this something to be worried about?? I have never seen this before. I took a picture if interested. If it means anything I did have sex on Thursday.
###Demographics### Age: Between 35 - 40 Gender: Female ###Full Active Problem List###: Fibromyalgia - Vitamin D deficiency - Bilateral carpal tunnel syndrome - Nicotine dependence ###Recent Encounters (Max 10)### Diagnoses (Past Year): Strain of calf muscle, left, initial encounter - Traumatic hematoma of forehead, initial encounter - Traumatic injury of head, initial encounter - Gastrocnemius strain, left, subsequent encounter - Anemia, unspecified type Diagnoses (Older): Breast pain - Weight loss - Breast lump on right side at 10 o'clock position - Chest pain, unspecified type ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM -KETOCONAZOLE 2 % SHAMPOO
Patient #1
Hi Doc, I feel like I am all of the sudden having trouble starting to pee? So it started on Monday. I can hold my urine just fine. But when I need to start peeing, it just feels hard to start --- almost like I am not in my normal control of the relevant muscles down there? Its starting to worry me a bit and I just wanted to let you know.
###Demographics### Age: Between 70 - 75 Gender: Female ###Full Active Problem List###: H/O non-ST elevation myocardial infarction (NSTEMI) - Arthritis, low back - HFrEF (heart failure with reduced ejection fraction) - Essential hypertension - DOE (dyspnea on exertion) - Pre-diabetes - Primary osteoarthritis of right hip - Pain in right hip - Low back pain, non-specific - Hyperlipidemia ###Recent Encounters (Max 10)### Diagnoses (Past Year): Cough, persistent - Spasmodic cough - Hyperlipidemia, unspecified hyperlipidemia type - Hypertension, unspecified type - Dyspnea, unspecified type - Cardiomyopathy, unspecified type - Thrombophilia - Chronic cough - Fatigue, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -SPIRONOLACTONE 25 MG TABLET -LISINOPRIL 40 MG TABLET -ATORVASTATIN 40 MG TABLET -BENZONATATE 100 MG CAPSULE -ASPIRIN 81 MG CHEWABLE TABLET -METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR -CHLORTHALIDONE 25 MG TABLET -INHALATIONAL SPACING DEVICE -FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION -PREDNISONE 10 MG TABLET
Hi Doctor, Reaching out about a mensrual issue I am having. So I have never had my blood clot before but now I'm noticing some clotting during my regular periods. This has happened twice in a row. The color seems normal and the smell is the same. Is this normal?
###Demographics### Age: Between 30 - 35 Gender: Female ###Full Active Problem List###: Tonsillar hypertrophy - Irritable bowel syndrome - Constipation - Postnasal drip - Anxiety - Depression - Migraine headache - Chronic urticaria - Severe dysplasia of cervix (CIN III) - Patellofemoral syndrome ###Recent Encounters (Max 10)### Diagnoses (Past Year): Nodule of neck - Situational anxiety - Acute URI Diagnoses (Older): Loss of consciousness - Change in color of pigmented skin lesion - Depression, unspecified depression type ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -HYDROXYZINE HCL 25 MG TABLET -DIAZEPAM 2 MG TABLET
Patient #1
Hi, I have always worried this would happen to me and something odd happened this week. Whenever I get ready to go to bed I have always used the bathrom. But these past few weeks, I feel like I can just keep going back and back again at night and a little bit of urine will still come out. I tried not drinking any water for hours before bed yesterday and it didnt change a dang thing. Its affecting my sleep so I'd really like to chat about what we can do about this. Thanks,
###Demographics### Age: Between 60 - 65 Gender: Female ###Full Active Problem List###: Cough, persistent - Health care maintenance - Hypertension - Age-related nuclear cataract, bilateral - Knee effusion, left - Allergic rhinitis - Depression - Cough variant asthma - Vitreous floaters - Presbyopia ###Recent Encounters (Max 10)### Diagnoses (Past Year): Pelvic floor dysfunction - Mixed stress and urge urinary incontinence - Viral syndrome - Type 2 diabetes mellitus with hypoglycemia without coma, with long-term current use of insulin - Hot flashes due to menopause - Depression with anxiety - Depression, unspecified depression type - Type 2 diabetes mellitus without complication, with long-term current use of insulin - Fatigue, unspecified type - Disorder of muscle, ligament, and fascia Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -MONTELUKAST 10 MG TABLET -INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION -LISINOPRIL 5 MG TABLET -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -DEXCOM G6 SENSOR DEVICE -LANTUS SOLOSTAR U-100 INSULIN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN -DEXCOM G6 TRANSMITTER DEVICE -ESTRADIOL 1.25 GRAM/ACTUATION (0.06%) TRANSDERMAL GEL PUMP -VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR -DEXCOM G6 RECEIVER MISC Recently Ended Within 30-Days of Message: -VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR
Dr. K, I know a lot of people around here have the flu right now but thankfully I've avoided it. However, I have seem to have caught a really nasty cough. Sometimes if I take a breath that is too deep itll make me cough uncontrollably for almost ten minutes straight and I'll be gasping for breath. It's kind of scary honestly. Mucus does come up sometimes when I cough and my nose is stopped up a little, but this cough is the worst I've ever had and I want to know if I should get it checked out. Thanks
###Demographics### Age: Between 50 - 55 Gender: Male ###Full Active Problem List###: Gout - Esophageal reflux - Fatty liver - Bursitis of left knee - Apnea, sleep - Obesity - Bipolar affective disorder - Fatigue - Injury of hand, right - Sleep disturbance - Chest pain - Anxiety - Arm paresthesia, right - Tremor - Vertigo - Biceps tendon rupture, right, sequela - Hypothyroidism - Allergic reaction to shellfish ###Recent Encounters (Max 10)### Diagnoses (Past Year): Insomnia, unspecified type - Radiculopathy of lumbar region - Gastroesophageal reflux disease - Bipolar affective disorder, remission status unspecified - L4-L5 disc bulge - Long-term current use of benzodiazepine - Chronic bilateral low back pain with bilateral sciatica - Limb tremor - Hypothyroidism, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE -LEVOTHYROXINE 100 MCG TABLET -HYDROXYZINE HCL 25 MG TABLET -CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET -PRAZOSIN 2 MG CAPSULE -LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE -CLONAZEPAM 0.5 MG TABLET Recently Ended Within 30-Days of Message: -QUETIAPINE 50 MG TABLET
Patient #2
Hi, I have always worried this would happen to me and something odd happened this week. Whenever I get ready to go to bed I have always used the bathrom. But these past few weeks, I feel like I can just keep going back and back again at night and a little bit of urine will still come out. I tried not drinking any water for hours before bed yesterday and it didnt change a dang thing. Its affecting my sleep so I'd really like to chat about what we can do about this. Thanks,
###Demographics### Age: Between 60 - 65 Gender: Female ###Full Active Problem List###: Cough, persistent - Health care maintenance - Hypertension - Age-related nuclear cataract, bilateral - Knee effusion, left - Allergic rhinitis - Depression - Cough variant asthma - Vitreous floaters - Presbyopia ###Recent Encounters (Max 10)### Diagnoses (Past Year): Pelvic floor dysfunction - Mixed stress and urge urinary incontinence - Viral syndrome - Type 2 diabetes mellitus with hypoglycemia without coma, with long-term current use of insulin - Hot flashes due to menopause - Depression with anxiety - Depression, unspecified depression type - Type 2 diabetes mellitus without complication, with long-term current use of insulin - Fatigue, unspecified type - Disorder of muscle, ligament, and fascia Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -MONTELUKAST 10 MG TABLET -INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION -LISINOPRIL 5 MG TABLET -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -DEXCOM G6 SENSOR DEVICE -LANTUS SOLOSTAR U-100 INSULIN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN -DEXCOM G6 TRANSMITTER DEVICE -ESTRADIOL 1.25 GRAM/ACTUATION (0.06%) TRANSDERMAL GEL PUMP -VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR -DEXCOM G6 RECEIVER MISC Recently Ended Within 30-Days of Message: -VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR
Doctor, I hope all is well with you and your family. I am messaging you as I took my temperature after feeilng a bit warm and coughing a bit this morning and found it to be 100.9. I thought you should know this. I think I am okay but I am home alone this weekend so I needed to make sure you knew. Thank you.
###Demographics### Age: Between 75 - 80 Gender: Female ###Full Active Problem List###: DDD (degenerative disc disease), lumbosacral - Bladder tumor - Closed die-punch intra-articular fracture of distal end of right radius - Essential hypertension - Spinal stenosis, lumbar region, without neurogenic claudication - Takotsubo cardiomyopathy - DJD (degenerative joint disease) of hip - Wrist fracture, closed, right, initial encounter - Distal radius fracture, left - Sacroiliac joint dysfunction of both sides - Radiculopathy of lumbar region - Bladder cancer - Unspecified abnormal findings in urine - Carpal tunnel syndrome on left - Adnexal mass - Osteopenia - Microhematuria - Healthcare maintenance - Arthritis of carpometacarpal (CMC) joint of left thumb - Arthritis of carpometacarpal (CMC) joint of right thumb ###Recent Encounters (Max 10)### Diagnoses (Past Year): On statin therapy due to risk of future cardiovascular event - Malignant neoplasm of urinary bladder, unspecified site - Hypertension, unspecified type - Unspecified abnormal finding in specimens from female genital organs - Pelvic mass in female - History of cardiomyopathy - Malignant neoplasm of lateral wall of urinary bladder Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR -ATORVASTATIN 10 MG TABLET -PREGABALIN 75 MG CAPSULE -CELECOXIB 200 MG CAPSULE -HYDROCHLOROTHIAZIDE 25 MG TABLET
Patient #1
Hi, I have always worried this would happen to me and something odd happened this week. Whenever I get ready to go to bed I have always used the bathrom. But these past few weeks, I feel like I can just keep going back and back again at night and a little bit of urine will still come out. I tried not drinking any water for hours before bed yesterday and it didnt change a dang thing. Its affecting my sleep so I'd really like to chat about what we can do about this. Thanks,
###Demographics### Age: Between 60 - 65 Gender: Female ###Full Active Problem List###: Cough, persistent - Health care maintenance - Hypertension - Age-related nuclear cataract, bilateral - Knee effusion, left - Allergic rhinitis - Depression - Cough variant asthma - Vitreous floaters - Presbyopia ###Recent Encounters (Max 10)### Diagnoses (Past Year): Pelvic floor dysfunction - Mixed stress and urge urinary incontinence - Viral syndrome - Type 2 diabetes mellitus with hypoglycemia without coma, with long-term current use of insulin - Hot flashes due to menopause - Depression with anxiety - Depression, unspecified depression type - Type 2 diabetes mellitus without complication, with long-term current use of insulin - Fatigue, unspecified type - Disorder of muscle, ligament, and fascia Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -MONTELUKAST 10 MG TABLET -INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION -LISINOPRIL 5 MG TABLET -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -DEXCOM G6 SENSOR DEVICE -LANTUS SOLOSTAR U-100 INSULIN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN -DEXCOM G6 TRANSMITTER DEVICE -ESTRADIOL 1.25 GRAM/ACTUATION (0.06%) TRANSDERMAL GEL PUMP -VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR -DEXCOM G6 RECEIVER MISC Recently Ended Within 30-Days of Message: -VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR
Hi Doctor, I am reaching out about some chest and breathing discomfort i've been having the past month or so. The feeling is like a tightness in my upper chest which causes me to feel short of breath, and as a result, I feel the need to take very deep breaths, which will often temporarily help for maybe 20 seconds or so. In other words, my standard breathing doesn't feel like it's enough, and so I feel this discomfort. I honestly felt for a while like it was correlated with my anxiety spikes, but now I am not so sure. Figured this is something I should message you about.
###Demographics### Age: Between 45 - 50 Gender: Female ###Full Active Problem List###: Nausea - Erythema annulare centrifugum - Vitamin D deficiency - Morbid obesity with BMI of 50.0-59.9, adult - Hirsutism - Immunization not carried out because of patient decision - Incomplete right bundle branch block (RBBB) - Weight gain following gastric bypass surgery - GI bleed - Stress fracture of right tibia - OSA (obstructive sleep apnea) - Obesity - SVT (supraventricular tachycardia) - Left-sided low back pain without sciatica - Chronic diarrhea - Palpitations - Dyspareunia, female - Atopic dermatitis - Gastroesophageal reflux disease - Splenomegaly - Fibroid uterus ###Recent Encounters (Max 10)### Diagnoses (Past Year): Upper abdominal pain - Acute left-sided low back pain without sciatica - Earache on left - Status post bariatric surgery - Bilateral impacted cerumen - Acute UTI (urinary tract infection) - Atrial fibrillation, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR -NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE -TRAMADOL 50 MG TABLET -GABAPENTIN 300 MG CAPSULE -ONDANSETRON 4 MG DISINTEGRATING TABLET -METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR -NORTRIPTYLINE 25 MG CAPSULE -FLECAINIDE 100 MG TABLET -DULOXETINE 20 MG CAPSULE,DELAYED RELEASE -PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE Recently Ended Within 30-Days of Message: -FLECAINIDE 50 MG TABLET
Patient #2
Hi, I have always worried this would happen to me and something odd happened this week. Whenever I get ready to go to bed I have always used the bathrom. But these past few weeks, I feel like I can just keep going back and back again at night and a little bit of urine will still come out. I tried not drinking any water for hours before bed yesterday and it didnt change a dang thing. Its affecting my sleep so I'd really like to chat about what we can do about this. Thanks,
###Demographics### Age: Between 60 - 65 Gender: Female ###Full Active Problem List###: Cough, persistent - Health care maintenance - Hypertension - Age-related nuclear cataract, bilateral - Knee effusion, left - Allergic rhinitis - Depression - Cough variant asthma - Vitreous floaters - Presbyopia ###Recent Encounters (Max 10)### Diagnoses (Past Year): Pelvic floor dysfunction - Mixed stress and urge urinary incontinence - Viral syndrome - Type 2 diabetes mellitus with hypoglycemia without coma, with long-term current use of insulin - Hot flashes due to menopause - Depression with anxiety - Depression, unspecified depression type - Type 2 diabetes mellitus without complication, with long-term current use of insulin - Fatigue, unspecified type - Disorder of muscle, ligament, and fascia Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -MONTELUKAST 10 MG TABLET -INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION -LISINOPRIL 5 MG TABLET -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -DEXCOM G6 SENSOR DEVICE -LANTUS SOLOSTAR U-100 INSULIN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN -DEXCOM G6 TRANSMITTER DEVICE -ESTRADIOL 1.25 GRAM/ACTUATION (0.06%) TRANSDERMAL GEL PUMP -VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR -DEXCOM G6 RECEIVER MISC Recently Ended Within 30-Days of Message: -VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR
Doctor S, For the last few days i've experienced a shortness of breath along with runny nose and a bad cough. I am also wheezing a bit. I'm not sure if it will go away with some home remedies but I keep geting into a bad cough which leads me to lose my breath, then I have to sit and go to a cool room to cool off and catch my breath, practically gasping for breath until it calms and then I resume my normal activities. I know I am scheduled to come in next thursday but I am wondering if you could find time to see me today?
###Demographics### Age: Between 40 - 45 Gender: Female ###Full Active Problem List###: Fibromyalgia - ASCUS with positive high risk HPV cervical - Pain of right sacroiliac joint - Irritable bowel syndrome - Persistent depressive disorder with anxious distress, currently moderate - Obstructive sleep apnea syndrome - Anxiety - Pain in right hip - Chronic neck pain - Post-traumatic stress disorder, chronic - Dysmenorrhea - Intractable periodic headache syndrome - Weight loss - Congenital valgus deformity of knee ###Recent Encounters (Max 10)### Diagnoses (Past Year): Diarrhea, unspecified type - Chronic abdominal pain - LLQ abdominal pain - Chronic nausea - RLQ abdominal pain - Irritable bowel syndrome with diarrhea Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -SUMATRIPTAN 50 MG TABLET -LORAZEPAM 0.5 MG TABLET -ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM -TOPIRAMATE 25 MG TABLET -OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE -HYOSCYAMINE SULFATE 0.125 MG TABLET -NORTRIPTYLINE 10 MG CAPSULE -FLUOXETINE 20 MG CAPSULE -VALACYCLOVIR 1 GRAM TABLET -ETONOGESTREL 0.12 MG-ETHINYL ESTRADIOL 0.015 MG/24 HR VAGINAL RING
Patient #2
Hi, I have always worried this would happen to me and something odd happened this week. Whenever I get ready to go to bed I have always used the bathrom. But these past few weeks, I feel like I can just keep going back and back again at night and a little bit of urine will still come out. I tried not drinking any water for hours before bed yesterday and it didnt change a dang thing. Its affecting my sleep so I'd really like to chat about what we can do about this. Thanks,
###Demographics### Age: Between 60 - 65 Gender: Female ###Full Active Problem List###: Cough, persistent - Health care maintenance - Hypertension - Age-related nuclear cataract, bilateral - Knee effusion, left - Allergic rhinitis - Depression - Cough variant asthma - Vitreous floaters - Presbyopia ###Recent Encounters (Max 10)### Diagnoses (Past Year): Pelvic floor dysfunction - Mixed stress and urge urinary incontinence - Viral syndrome - Type 2 diabetes mellitus with hypoglycemia without coma, with long-term current use of insulin - Hot flashes due to menopause - Depression with anxiety - Depression, unspecified depression type - Type 2 diabetes mellitus without complication, with long-term current use of insulin - Fatigue, unspecified type - Disorder of muscle, ligament, and fascia Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -MONTELUKAST 10 MG TABLET -INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION -LISINOPRIL 5 MG TABLET -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -DEXCOM G6 SENSOR DEVICE -LANTUS SOLOSTAR U-100 INSULIN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN -DEXCOM G6 TRANSMITTER DEVICE -ESTRADIOL 1.25 GRAM/ACTUATION (0.06%) TRANSDERMAL GEL PUMP -VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR -DEXCOM G6 RECEIVER MISC Recently Ended Within 30-Days of Message: -VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR
Doctor S, So I have been getting over a cold, lots of sneezing going on. Today, I sneezed and felt a pop in my rib cage and sharp pain at the same time. It totally took my breath away and the spot feels very sore. Every sneeze since has been super painful and I think I'd like to come in and get this checked out.
###Demographics### Age: Between 60 - 65 Gender: Male ###Full Active Problem List###: Reactive arthritis - Dysplastic nevus - PAF (paroxysmal atrial fibrillation) - Post-traumatic osteoarthritis of right knee - TIA due to embolism - Psoriatic arthritis - APC (atrial premature contractions) - PFO (patent foramen ovale) - Sinus bradycardia - Acute pain - Floater, vitreous - Macrocytosis without anemia - Neurocardiogenic pre-syncope - HTN (hypertension) - Hyperlipidemia ###Recent Encounters (Max 10)### Diagnoses (Past Year): Hyperlipidemia, unspecified hyperlipidemia type - Hypertension, essential, benign - Hypertension, unspecified type - Reactive arthritis, unspecified site - Primary hypertension - Tachycardia Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR -AMLODIPINE 5 MG TABLET -OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE -APIXABAN 5 MG TABLET -CIMZIA 400 MG/2 ML (200 MG/ML X 2) SUBCUTANEOUS SYRINGE KIT
Patient #2
Hi, I have always worried this would happen to me and something odd happened this week. Whenever I get ready to go to bed I have always used the bathrom. But these past few weeks, I feel like I can just keep going back and back again at night and a little bit of urine will still come out. I tried not drinking any water for hours before bed yesterday and it didnt change a dang thing. Its affecting my sleep so I'd really like to chat about what we can do about this. Thanks,
###Demographics### Age: Between 60 - 65 Gender: Female ###Full Active Problem List###: Cough, persistent - Health care maintenance - Hypertension - Age-related nuclear cataract, bilateral - Knee effusion, left - Allergic rhinitis - Depression - Cough variant asthma - Vitreous floaters - Presbyopia ###Recent Encounters (Max 10)### Diagnoses (Past Year): Pelvic floor dysfunction - Mixed stress and urge urinary incontinence - Viral syndrome - Type 2 diabetes mellitus with hypoglycemia without coma, with long-term current use of insulin - Hot flashes due to menopause - Depression with anxiety - Depression, unspecified depression type - Type 2 diabetes mellitus without complication, with long-term current use of insulin - Fatigue, unspecified type - Disorder of muscle, ligament, and fascia Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -MONTELUKAST 10 MG TABLET -INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION -LISINOPRIL 5 MG TABLET -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -DEXCOM G6 SENSOR DEVICE -LANTUS SOLOSTAR U-100 INSULIN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN -DEXCOM G6 TRANSMITTER DEVICE -ESTRADIOL 1.25 GRAM/ACTUATION (0.06%) TRANSDERMAL GEL PUMP -VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR -DEXCOM G6 RECEIVER MISC Recently Ended Within 30-Days of Message: -VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR
Doctor, This week I started experiencing something a bit new for me. So in the middle of the night I find that my chest and back feel very sweaty. Sometimes damp, othertimes soaked. I don't think its because my room is too hot, as it's been at the normal temperature. This just happened all of the sudden to me this week and I wanted to ask about it.
###Demographics### Age: Between 45 - 50 Gender: Female ###Full Active Problem List###: Gestational diabetes - Fatigue - Anxiety disorder - Adjustment reaction - Myalgia - Chlamydia trachomatis infection of genital structure - Thoracic or lumbosacral neuritis or radiculitis - Depressive disorder - Breast disorder ###Recent Encounters (Max 10)### Diagnoses (Past Year): Menorrhagia with regular cycle - Vaginal bleeding problems - Adenomyosis - Anemia due to chronic blood loss - Closed nondisplaced pilon fracture of left tibia with routine healing, subsequent encounter - Arthritis of left knee - Elevated blood pressure reading without diagnosis of hypertension - Acute left ankle pain - Closed displaced pilon fracture of left tibia with routine healing, subsequent encounter Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -NORETHINDRONE ACETATE 5 MG TABLET -FERROUS SULFATE 325 MG (65 MG IRON) TABLET,DELAYED RELEASE -NORETHINDRONE (CONTRACEPTIVE) 0.35 MG TABLET Recently Ended Within 30-Days of Message: -TRANEXAMIC ACID 650 MG TABLET
Patient #1
Hi, I have always worried this would happen to me and something odd happened this week. Whenever I get ready to go to bed I have always used the bathrom. But these past few weeks, I feel like I can just keep going back and back again at night and a little bit of urine will still come out. I tried not drinking any water for hours before bed yesterday and it didnt change a dang thing. Its affecting my sleep so I'd really like to chat about what we can do about this. Thanks,
###Demographics### Age: Between 60 - 65 Gender: Female ###Full Active Problem List###: Cough, persistent - Health care maintenance - Hypertension - Age-related nuclear cataract, bilateral - Knee effusion, left - Allergic rhinitis - Depression - Cough variant asthma - Vitreous floaters - Presbyopia ###Recent Encounters (Max 10)### Diagnoses (Past Year): Pelvic floor dysfunction - Mixed stress and urge urinary incontinence - Viral syndrome - Type 2 diabetes mellitus with hypoglycemia without coma, with long-term current use of insulin - Hot flashes due to menopause - Depression with anxiety - Depression, unspecified depression type - Type 2 diabetes mellitus without complication, with long-term current use of insulin - Fatigue, unspecified type - Disorder of muscle, ligament, and fascia Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -MONTELUKAST 10 MG TABLET -INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION -LISINOPRIL 5 MG TABLET -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -DEXCOM G6 SENSOR DEVICE -LANTUS SOLOSTAR U-100 INSULIN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN -DEXCOM G6 TRANSMITTER DEVICE -ESTRADIOL 1.25 GRAM/ACTUATION (0.06%) TRANSDERMAL GEL PUMP -VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR -DEXCOM G6 RECEIVER MISC Recently Ended Within 30-Days of Message: -VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR
Hi Doc, I thought I just had the flu but my fever has gone up to 103 and has gone as low as 97 over the past couple of days. From a quick google this seems very off. I am messaging you as I am afraid to go to urgent care due to my insurance. But yeah, anytime my fever gets super high I can alleviate it with tylenol. I have most other basic flu symptoms. But I felt like 103 was really high. Yet, it does go away with meds, so do I just need to ride this out? i hoep so...
###Demographics### Age: Between 45 - 50 Gender: Male ###Full Active Problem List###: Heartburn - Daytime somnolence - Low back pain - Prostate disorder - Snoring - Gastroesophageal reflux disease with esophagitis - Insomnia - Migraine without aura and without status migrainosus, not intractable - Observed sleep apnea - Forgetfulness - Neck pain - Anxiety - Unable to concentrate - Cherry angioma - Depression with anxiety - Seasonal allergies ###Recent Encounters (Max 10)### Diagnoses (Past Year): Chest pain, unspecified type Diagnoses (Older): Insomnia, unspecified type - Epigastric pain - Seborrheic keratoses, inflamed - Diminished night vision ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): *No Active Medications*
Patient #1
Hi, I have always worried this would happen to me and something odd happened this week. Whenever I get ready to go to bed I have always used the bathrom. But these past few weeks, I feel like I can just keep going back and back again at night and a little bit of urine will still come out. I tried not drinking any water for hours before bed yesterday and it didnt change a dang thing. Its affecting my sleep so I'd really like to chat about what we can do about this. Thanks,
###Demographics### Age: Between 60 - 65 Gender: Female ###Full Active Problem List###: Cough, persistent - Health care maintenance - Hypertension - Age-related nuclear cataract, bilateral - Knee effusion, left - Allergic rhinitis - Depression - Cough variant asthma - Vitreous floaters - Presbyopia ###Recent Encounters (Max 10)### Diagnoses (Past Year): Pelvic floor dysfunction - Mixed stress and urge urinary incontinence - Viral syndrome - Type 2 diabetes mellitus with hypoglycemia without coma, with long-term current use of insulin - Hot flashes due to menopause - Depression with anxiety - Depression, unspecified depression type - Type 2 diabetes mellitus without complication, with long-term current use of insulin - Fatigue, unspecified type - Disorder of muscle, ligament, and fascia Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -MONTELUKAST 10 MG TABLET -INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION -LISINOPRIL 5 MG TABLET -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -DEXCOM G6 SENSOR DEVICE -LANTUS SOLOSTAR U-100 INSULIN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN -DEXCOM G6 TRANSMITTER DEVICE -ESTRADIOL 1.25 GRAM/ACTUATION (0.06%) TRANSDERMAL GEL PUMP -VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR -DEXCOM G6 RECEIVER MISC Recently Ended Within 30-Days of Message: -VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR
Dr. J, I developed a fever last night, accompanied by frequent diarrhea, as well as a mild headache. Advil has been effective at managing the fever but nothing I seem to do helps my stomach problems. What should I do??
###Demographics### Age: Between 30 - 35 Gender: Female ###Full Active Problem List###: Menorrhagia with regular cycle - Pre-conception counseling - IUD (intrauterine device) in place - Vulvar cyst - Asthma, exercise induced - Labor without complication - Pain in right wrist - Grief reaction - Mild intermittent asthma, uncomplicated ###Recent Encounters (Max 10)### Diagnoses (Past Year): Allergic rhinitis, unspecified seasonality, unspecified trigger - Hypertrophy of nasal turbinates - Acne vulgaris - Breast lump on left side at 8 o'clock position - Encounter for cosmetic procedure - Delayed sleep phase syndrome - Nasal obstruction - Deviated nasal septum - DH ERRONEOUS ENCOUNTER Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM -TRETINOIN 0.025 % TOPICAL CREAM -AZELASTINE 137 MCG (0.1 %) NASAL SPRAY AEROSOL -INHALATIONAL SPACING DEVICE -FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION
Patient #1
Hi, I have always worried this would happen to me and something odd happened this week. Whenever I get ready to go to bed I have always used the bathrom. But these past few weeks, I feel like I can just keep going back and back again at night and a little bit of urine will still come out. I tried not drinking any water for hours before bed yesterday and it didnt change a dang thing. Its affecting my sleep so I'd really like to chat about what we can do about this. Thanks,
###Demographics### Age: Between 60 - 65 Gender: Female ###Full Active Problem List###: Cough, persistent - Health care maintenance - Hypertension - Age-related nuclear cataract, bilateral - Knee effusion, left - Allergic rhinitis - Depression - Cough variant asthma - Vitreous floaters - Presbyopia ###Recent Encounters (Max 10)### Diagnoses (Past Year): Pelvic floor dysfunction - Mixed stress and urge urinary incontinence - Viral syndrome - Type 2 diabetes mellitus with hypoglycemia without coma, with long-term current use of insulin - Hot flashes due to menopause - Depression with anxiety - Depression, unspecified depression type - Type 2 diabetes mellitus without complication, with long-term current use of insulin - Fatigue, unspecified type - Disorder of muscle, ligament, and fascia Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -MONTELUKAST 10 MG TABLET -INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION -LISINOPRIL 5 MG TABLET -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -DEXCOM G6 SENSOR DEVICE -LANTUS SOLOSTAR U-100 INSULIN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN -DEXCOM G6 TRANSMITTER DEVICE -ESTRADIOL 1.25 GRAM/ACTUATION (0.06%) TRANSDERMAL GEL PUMP -VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR -DEXCOM G6 RECEIVER MISC Recently Ended Within 30-Days of Message: -VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR
Hi, this is MG writing on behalf of JG. JG has has a low grade fever since 2 days ago. No other major symptoms, just a low-grade fever(99.9 - 101.0). JG has been cold and tired but thats about it for other symptoms. I am just worried about him and wonder if he should come see you.
###Demographics### Age: Between 70 - 75 Gender: Male ###Full Active Problem List###: Elevated fasting glucose - Abnormal PFT - Dizziness - Partial small bowel obstruction - Prostate cancer - Allergy to insect stings - Essential hypertension - Prediabetes - Neck pain, bilateral - Breast mass - Elevated PSA - Post-splenectomy - NSTEMI (non-ST elevated myocardial infarction) ###Recent Encounters (Max 10)### Diagnoses (Past Year): Imbalance - Nonrheumatic aortic valve insufficiency - Primary open angle glaucoma (POAG) of both eyes, mild stage - Hodgkin lymphoma, unspecified Hodgkin lymphoma type, unspecified body region - Rectal bleeding - Radiation fibrosis of lung - Chronic obstructive pulmonary disease, unspecified COPD type - Bronchiectasis without complication - Restrictive lung disease - Hypothyroidism, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -BETAXOLOL 0.5 % EYE DROPS -MECLIZINE 25 MG TABLET -SPIRIVA RESPIMAT 2.5 MCG/ACTUATION SOLUTION FOR INHALATION -BENZONATATE 100 MG CAPSULE -EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR -APIXABAN 5 MG TABLET -HYDROCORTISONE 2.5 % TOPICAL CREAM -ATORVASTATIN 80 MG TABLET -LEVOTHYROXINE 125 MCG TABLET -LOSARTAN 100 MG TABLET Recently Ended Within 30-Days of Message: -LACTOBACILLUS RHAMNOSUS GG 10 BILLION CELL CAPSULE
Patient #1
Hi, I have always worried this would happen to me and something odd happened this week. Whenever I get ready to go to bed I have always used the bathrom. But these past few weeks, I feel like I can just keep going back and back again at night and a little bit of urine will still come out. I tried not drinking any water for hours before bed yesterday and it didnt change a dang thing. Its affecting my sleep so I'd really like to chat about what we can do about this. Thanks,
###Demographics### Age: Between 60 - 65 Gender: Female ###Full Active Problem List###: Cough, persistent - Health care maintenance - Hypertension - Age-related nuclear cataract, bilateral - Knee effusion, left - Allergic rhinitis - Depression - Cough variant asthma - Vitreous floaters - Presbyopia ###Recent Encounters (Max 10)### Diagnoses (Past Year): Pelvic floor dysfunction - Mixed stress and urge urinary incontinence - Viral syndrome - Type 2 diabetes mellitus with hypoglycemia without coma, with long-term current use of insulin - Hot flashes due to menopause - Depression with anxiety - Depression, unspecified depression type - Type 2 diabetes mellitus without complication, with long-term current use of insulin - Fatigue, unspecified type - Disorder of muscle, ligament, and fascia Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -MONTELUKAST 10 MG TABLET -INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION -LISINOPRIL 5 MG TABLET -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -DEXCOM G6 SENSOR DEVICE -LANTUS SOLOSTAR U-100 INSULIN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN -DEXCOM G6 TRANSMITTER DEVICE -ESTRADIOL 1.25 GRAM/ACTUATION (0.06%) TRANSDERMAL GEL PUMP -VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR -DEXCOM G6 RECEIVER MISC Recently Ended Within 30-Days of Message: -VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR
Hey Doc, Since last night, I have had this low-grade fever (101.4), extremely sore throat, cough, and loss of voice. Can you write me something for an antibiotic? I must have strep. I just know it.
###Demographics### Age: Between 45 - 50 Gender: Female ###Full Active Problem List###: Acquired absence of part of stomach - Chronic abdominal pain - Hypercholesterolemia - Steatosis of liver - Status post bariatric surgery - Miscarriage - Ventral hernia without obstruction or gangrene - Hx of gastric bypass - Gastroesophageal reflux disease - Infertility of tubal origin - Vitamin D deficiency - Postoperative hypothyroidism - Asthma - Frequent unifocal PVCs - Hypothyroidism - Vasovagal episode - Encounter for preconception consultation ###Recent Encounters (Max 10)### Diagnoses (Past Year): Disorder of iron metabolism - Vitamin B12 deficiency - S/P bariatric surgery - Pelvic pain in female - Iron deficiency anemia, unspecified iron deficiency anemia type - Microhematuria - Fever, unspecified fever cause - Other intestinal malabsorption Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -FAMOTIDINE 40 MG TABLET -OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR -FREESTYLE LIBRE 2 READER -FREESTYLE LIBRE 2 SENSOR KIT -PHENAZOPYRIDINE 200 MG TABLET -GLUCAGON 3 MG/ACTUATION NASAL SPRAY -METOCLOPRAMIDE 10 MG TABLET -IBUPROFEN 600 MG TABLET
Patient #2
Hi, I have always worried this would happen to me and something odd happened this week. Whenever I get ready to go to bed I have always used the bathrom. But these past few weeks, I feel like I can just keep going back and back again at night and a little bit of urine will still come out. I tried not drinking any water for hours before bed yesterday and it didnt change a dang thing. Its affecting my sleep so I'd really like to chat about what we can do about this. Thanks,
###Demographics### Age: Between 60 - 65 Gender: Female ###Full Active Problem List###: Cough, persistent - Health care maintenance - Hypertension - Age-related nuclear cataract, bilateral - Knee effusion, left - Allergic rhinitis - Depression - Cough variant asthma - Vitreous floaters - Presbyopia ###Recent Encounters (Max 10)### Diagnoses (Past Year): Pelvic floor dysfunction - Mixed stress and urge urinary incontinence - Viral syndrome - Type 2 diabetes mellitus with hypoglycemia without coma, with long-term current use of insulin - Hot flashes due to menopause - Depression with anxiety - Depression, unspecified depression type - Type 2 diabetes mellitus without complication, with long-term current use of insulin - Fatigue, unspecified type - Disorder of muscle, ligament, and fascia Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -MONTELUKAST 10 MG TABLET -INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION -LISINOPRIL 5 MG TABLET -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -DEXCOM G6 SENSOR DEVICE -LANTUS SOLOSTAR U-100 INSULIN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN -DEXCOM G6 TRANSMITTER DEVICE -ESTRADIOL 1.25 GRAM/ACTUATION (0.06%) TRANSDERMAL GEL PUMP -VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR -DEXCOM G6 RECEIVER MISC Recently Ended Within 30-Days of Message: -VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR
I just had my first period after giving birth and I've been having pretty heavy bleeding for 4 days now. I am soaking through many more pads per day than normal. I feel like everytime I go to the bathroom there is just so much blood and I dont know what to do. My flow has not slowed down at all. is this normal??
###Demographics### Age: Between 35 - 40 Gender: Female ###Full Active Problem List###: Left tubal pregnancy without intrauterine pregnancy ###Recent Encounters (Max 10)### Diagnoses (Past Year): Reactive depression (situational) Diagnoses (Older): Multiple benign nevi - IUD (intrauterine device) in place - Onychocryptosis - Intrauterine contraceptive device threads lost, initial encounter - Cherry angioma - Abnormal ultrasound - Encounter for postpartum care of lactating mother ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE -FLUOXETINE 20 MG CAPSULE -LEVONORGESTREL 0.15 MG-ETHINYL ESTRADIOL 30 MCG TABLETS,3 MOS PACK(91)
Patient #2
Hi, I have always worried this would happen to me and something odd happened this week. Whenever I get ready to go to bed I have always used the bathrom. But these past few weeks, I feel like I can just keep going back and back again at night and a little bit of urine will still come out. I tried not drinking any water for hours before bed yesterday and it didnt change a dang thing. Its affecting my sleep so I'd really like to chat about what we can do about this. Thanks,
###Demographics### Age: Between 60 - 65 Gender: Female ###Full Active Problem List###: Cough, persistent - Health care maintenance - Hypertension - Age-related nuclear cataract, bilateral - Knee effusion, left - Allergic rhinitis - Depression - Cough variant asthma - Vitreous floaters - Presbyopia ###Recent Encounters (Max 10)### Diagnoses (Past Year): Pelvic floor dysfunction - Mixed stress and urge urinary incontinence - Viral syndrome - Type 2 diabetes mellitus with hypoglycemia without coma, with long-term current use of insulin - Hot flashes due to menopause - Depression with anxiety - Depression, unspecified depression type - Type 2 diabetes mellitus without complication, with long-term current use of insulin - Fatigue, unspecified type - Disorder of muscle, ligament, and fascia Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -MONTELUKAST 10 MG TABLET -INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION -LISINOPRIL 5 MG TABLET -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -DEXCOM G6 SENSOR DEVICE -LANTUS SOLOSTAR U-100 INSULIN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN -DEXCOM G6 TRANSMITTER DEVICE -ESTRADIOL 1.25 GRAM/ACTUATION (0.06%) TRANSDERMAL GEL PUMP -VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR -DEXCOM G6 RECEIVER MISC Recently Ended Within 30-Days of Message: -VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR
Hi, I am scared. I have been bleeding very heavily (like soaking through 1 maxi pad per 30 minutes consistently)! I don't know if this is normal or if I should seek immediate medical attention or if it could be a cyst bursting? I have also been cramping TERRIBLY. Please let me know what next steps should be. I tried calling and didn't hear back and I live sort of far from an urgent care.
###Demographics### Age: Between 25 - 30 Gender: Female ###Full Active Problem List###: Attention deficit hyperactivity disorder (ADHD) - Migraines - Hyperopia, bilateral - Iron deficiency anemia - Trigeminal neuralgia - Anxiety - Severe episode of recurrent major depressive disorder - Post-traumatic stress disorder, chronic - Asthma - History of substance abuse ###Recent Encounters (Max 10)### Diagnoses (Past Year): Asthma, unspecified asthma severity, unspecified whether complicated, unspecified whether persistent - Excessive bleeding in premenopausal period - Asymptomatic microscopic hematuria - Dysuria - Mastalgia - Menorrhagia with irregular cycle - Iron deficiency anemia due to chronic blood loss - Mild intermittent asthma with acute exacerbation - Easy bruising - Abnormal uterine bleeding (AUB) Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -MONTELUKAST 10 MG TABLET -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN -FERROUS SULFATE 325 MG (65 MG IRON) TABLET -EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR -FLOVENT HFA 220 MCG/ACTUATION AEROSOL INHALER
Patient #2
Hi, I have always worried this would happen to me and something odd happened this week. Whenever I get ready to go to bed I have always used the bathrom. But these past few weeks, I feel like I can just keep going back and back again at night and a little bit of urine will still come out. I tried not drinking any water for hours before bed yesterday and it didnt change a dang thing. Its affecting my sleep so I'd really like to chat about what we can do about this. Thanks,
###Demographics### Age: Between 60 - 65 Gender: Female ###Full Active Problem List###: Cough, persistent - Health care maintenance - Hypertension - Age-related nuclear cataract, bilateral - Knee effusion, left - Allergic rhinitis - Depression - Cough variant asthma - Vitreous floaters - Presbyopia ###Recent Encounters (Max 10)### Diagnoses (Past Year): Pelvic floor dysfunction - Mixed stress and urge urinary incontinence - Viral syndrome - Type 2 diabetes mellitus with hypoglycemia without coma, with long-term current use of insulin - Hot flashes due to menopause - Depression with anxiety - Depression, unspecified depression type - Type 2 diabetes mellitus without complication, with long-term current use of insulin - Fatigue, unspecified type - Disorder of muscle, ligament, and fascia Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -MONTELUKAST 10 MG TABLET -INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION -LISINOPRIL 5 MG TABLET -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -DEXCOM G6 SENSOR DEVICE -LANTUS SOLOSTAR U-100 INSULIN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN -DEXCOM G6 TRANSMITTER DEVICE -ESTRADIOL 1.25 GRAM/ACTUATION (0.06%) TRANSDERMAL GEL PUMP -VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR -DEXCOM G6 RECEIVER MISC Recently Ended Within 30-Days of Message: -VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR
Hi Doctor M, I have been delyaing sending this message but recently my periods have gotten much more painful. I have a pretty high pain tolerance, but my cramps will have me in tears. This feels abnormal + the blood is very thick and dark. I'd really like to come in and chat about this in person. Please let me know your availability. Also, my phone is currently not working so please message me here if possible.
###Demographics### Age: Between 25 - 30 Gender: Female ###Full Active Problem List###: Flu vaccine need - Need for hepatitis A vaccination - Eczema - Mixed anxiety and depressive disorder - Immunization, tetanus toxoid - Encounter for screening for HIV ###Recent Encounters (Max 10)### Diagnoses (Past Year): Heavy alcohol use - Adjustment reaction with anxiety and depression - Class 3 severe obesity with body mass index (BMI) of 45.0 to 49.9 in adult, unspecified obesity type, unspecified whether serious comorbidity present - Intermittent palpitations - Vitamin D deficiency Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -NALTREXONE 50 MG TABLET -ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE -TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM -BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE Recently Ended Within 30-Days of Message: -NALTREXONE 8 MG-BUPROPION 90 MG TABLET,EXTENDED RELEASE
Patient #1
Hi, I have always worried this would happen to me and something odd happened this week. Whenever I get ready to go to bed I have always used the bathrom. But these past few weeks, I feel like I can just keep going back and back again at night and a little bit of urine will still come out. I tried not drinking any water for hours before bed yesterday and it didnt change a dang thing. Its affecting my sleep so I'd really like to chat about what we can do about this. Thanks,
###Demographics### Age: Between 60 - 65 Gender: Female ###Full Active Problem List###: Cough, persistent - Health care maintenance - Hypertension - Age-related nuclear cataract, bilateral - Knee effusion, left - Allergic rhinitis - Depression - Cough variant asthma - Vitreous floaters - Presbyopia ###Recent Encounters (Max 10)### Diagnoses (Past Year): Pelvic floor dysfunction - Mixed stress and urge urinary incontinence - Viral syndrome - Type 2 diabetes mellitus with hypoglycemia without coma, with long-term current use of insulin - Hot flashes due to menopause - Depression with anxiety - Depression, unspecified depression type - Type 2 diabetes mellitus without complication, with long-term current use of insulin - Fatigue, unspecified type - Disorder of muscle, ligament, and fascia Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -MONTELUKAST 10 MG TABLET -INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION -LISINOPRIL 5 MG TABLET -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -DEXCOM G6 SENSOR DEVICE -LANTUS SOLOSTAR U-100 INSULIN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN -DEXCOM G6 TRANSMITTER DEVICE -ESTRADIOL 1.25 GRAM/ACTUATION (0.06%) TRANSDERMAL GEL PUMP -VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR -DEXCOM G6 RECEIVER MISC Recently Ended Within 30-Days of Message: -VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR
Dr Z, My period was due on the 21st and I've taken pregnancy tests that have come back negative. I normally I get severe menstrual cramps that I take Co-codamol to deal with, and I am now getting this pain is similar to what I experience then but in the wrong place. The pain seems to be worse when I urinate, and I am unsure if this is all realted to my period or something else? Would really apprecaite your feedback!!
###Demographics### Age: Between 25 - 30 Gender: Female ###Full Active Problem List###: Endometriosis - Spondyloarthropathy - Chronic pelvic pain in female - Ankle instability, left - Migraine - Alternating constipation and diarrhea ###Recent Encounters (Max 10)### Diagnoses (Past Year): Sacral pain - Non-radiographic axial spondyloarthritis - High risk medication use - Chronic migraine without aura without status migrainosus, not intractable - Nocturnal pain - Back strain, subsequent encounter - Sore throat - Paresthesias - Tingling in extremities - Lumbar spondylosis Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -CYCLOBENZAPRINE 5 MG TABLET -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -ONDANSETRON HCL 4 MG TABLET -KETOROLAC 10 MG TABLET -TOPIRAMATE 25 MG TABLET -HUMIRA(CF) PEN 40 MG/0.4 ML SUBCUTANEOUS KIT -GABAPENTIN 100 MG CAPSULE -CITALOPRAM 20 MG TABLET -LORAZEPAM 1 MG TABLET -LIDOCAINE HCL 2 % MUCOSAL JELLY
Patient #2
Hi, I have always worried this would happen to me and something odd happened this week. Whenever I get ready to go to bed I have always used the bathrom. But these past few weeks, I feel like I can just keep going back and back again at night and a little bit of urine will still come out. I tried not drinking any water for hours before bed yesterday and it didnt change a dang thing. Its affecting my sleep so I'd really like to chat about what we can do about this. Thanks,
###Demographics### Age: Between 60 - 65 Gender: Female ###Full Active Problem List###: Cough, persistent - Health care maintenance - Hypertension - Age-related nuclear cataract, bilateral - Knee effusion, left - Allergic rhinitis - Depression - Cough variant asthma - Vitreous floaters - Presbyopia ###Recent Encounters (Max 10)### Diagnoses (Past Year): Pelvic floor dysfunction - Mixed stress and urge urinary incontinence - Viral syndrome - Type 2 diabetes mellitus with hypoglycemia without coma, with long-term current use of insulin - Hot flashes due to menopause - Depression with anxiety - Depression, unspecified depression type - Type 2 diabetes mellitus without complication, with long-term current use of insulin - Fatigue, unspecified type - Disorder of muscle, ligament, and fascia Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -MONTELUKAST 10 MG TABLET -INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION -LISINOPRIL 5 MG TABLET -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -DEXCOM G6 SENSOR DEVICE -LANTUS SOLOSTAR U-100 INSULIN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN -DEXCOM G6 TRANSMITTER DEVICE -ESTRADIOL 1.25 GRAM/ACTUATION (0.06%) TRANSDERMAL GEL PUMP -VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR -DEXCOM G6 RECEIVER MISC Recently Ended Within 30-Days of Message: -VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR
Hi Doctor, As you know, I have been getting menstural cramps for years now, but lately they have gotten worse. I used to tolerate them okay but the cramps are so bad that I can barely move at all, and they're getting worse every month. The only thing that works is heating pads. But even then it's not helping much. So yeah it's gotten to the point that I really wanted to schedule something with you to talk about this. I don't known if I need a stronger NSAID or if there is a new type of medication that can help or if there is something WRONG WITH ME but I really want to try something. Thanks
###Demographics### Age: Between 25 - 30 Gender: Female ###Full Active Problem List###: Vaginitis - Vocal cord strain - PID (acute pelvic inflammatory disease) - Generalized anxiety disorder - Laryngopharyngeal reflux (LPR) - Change in voice - Bladder pain - Eating disorder - Psychiatric disorder - Irritable bowel syndrome with diarrhea - Memory loss - Excessive anger - OAB (overactive bladder) - Bipolar disorder - Migraine without status migrainosus, not intractable - Mixed incontinence - Dysuria - IIH (idiopathic intracranial hypertension) - Elevated TSH - Cigarette nicotine dependence with nicotine-induced disorder ###Recent Encounters (Max 10)### Diagnoses (Past Year): Breast mass in female - Palpitation - IC (interstitial cystitis) - Post-traumatic stress disorder, chronic - Depression, major, recurrent, in remission - Memory change Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -LEVOCETIRIZINE 5 MG TABLET -PRAZOSIN 1 MG CAPSULE -OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE -LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE -FUROSEMIDE 20 MG TABLET -LEVONORGESTREL 20 MCG/24 HOURS (7 YRS) 52 MG INTRAUTERINE DEVICE -SERTRALINE 25 MG TABLET -VIBEGRON 75 MG TABLET -GABAPENTIN 400 MG CAPSULE
Patient #1
Hi, I have always worried this would happen to me and something odd happened this week. Whenever I get ready to go to bed I have always used the bathrom. But these past few weeks, I feel like I can just keep going back and back again at night and a little bit of urine will still come out. I tried not drinking any water for hours before bed yesterday and it didnt change a dang thing. Its affecting my sleep so I'd really like to chat about what we can do about this. Thanks,
###Demographics### Age: Between 60 - 65 Gender: Female ###Full Active Problem List###: Cough, persistent - Health care maintenance - Hypertension - Age-related nuclear cataract, bilateral - Knee effusion, left - Allergic rhinitis - Depression - Cough variant asthma - Vitreous floaters - Presbyopia ###Recent Encounters (Max 10)### Diagnoses (Past Year): Pelvic floor dysfunction - Mixed stress and urge urinary incontinence - Viral syndrome - Type 2 diabetes mellitus with hypoglycemia without coma, with long-term current use of insulin - Hot flashes due to menopause - Depression with anxiety - Depression, unspecified depression type - Type 2 diabetes mellitus without complication, with long-term current use of insulin - Fatigue, unspecified type - Disorder of muscle, ligament, and fascia Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -MONTELUKAST 10 MG TABLET -INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION -LISINOPRIL 5 MG TABLET -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -DEXCOM G6 SENSOR DEVICE -LANTUS SOLOSTAR U-100 INSULIN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN -DEXCOM G6 TRANSMITTER DEVICE -ESTRADIOL 1.25 GRAM/ACTUATION (0.06%) TRANSDERMAL GEL PUMP -VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR -DEXCOM G6 RECEIVER MISC Recently Ended Within 30-Days of Message: -VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR
Dr, Quick question -> My period was due 5 days ago and it hasn't come yet. I haven't had any other symptoms and I am definitely not pregnant Is there anything else I should be worried about?
###Demographics### Age: Between 35 - 40 Gender: Female ###Full Active Problem List###: Pseudotumor cerebri - Multigravida of advanced maternal age in third trimester - Astigmatism of both eyes - Adjustment disorder with depressed mood - Subjective vision disturbance - Class 1 obesity in adult - History of insulin controlled gestational diabetes mellitus - Glaucoma high risk - Pedal edema ###Recent Encounters (Max 10)### Diagnoses (Past Year): Class 1 obesity with body mass index (BMI) of 34.0 to 34.9 in adult, unspecified obesity type, unspecified whether serious comorbidity present - Post partum depression - Gestational diabetes mellitus (GDM) in third trimester, gestational diabetes method of control unspecified - Multigravida of advanced maternal age in second trimester - Diet controlled gestational diabetes mellitus (GDM) in third trimester - Astigmatism of both eyes, unspecified type - Elevated glucose tolerance test - Frank breech presentation, single or unspecified fetus Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -VALACYCLOVIR 500 MG TABLET -SERTRALINE 50 MG TABLET Recently Ended Within 30-Days of Message: -IBUPROFEN 800 MG TABLET -MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET -POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET -RIBOFLAVIN (VITAMIN B2) 100 MG TABLET
Patient #1
Hi, I have always worried this would happen to me and something odd happened this week. Whenever I get ready to go to bed I have always used the bathrom. But these past few weeks, I feel like I can just keep going back and back again at night and a little bit of urine will still come out. I tried not drinking any water for hours before bed yesterday and it didnt change a dang thing. Its affecting my sleep so I'd really like to chat about what we can do about this. Thanks,
###Demographics### Age: Between 60 - 65 Gender: Female ###Full Active Problem List###: Cough, persistent - Health care maintenance - Hypertension - Age-related nuclear cataract, bilateral - Knee effusion, left - Allergic rhinitis - Depression - Cough variant asthma - Vitreous floaters - Presbyopia ###Recent Encounters (Max 10)### Diagnoses (Past Year): Pelvic floor dysfunction - Mixed stress and urge urinary incontinence - Viral syndrome - Type 2 diabetes mellitus with hypoglycemia without coma, with long-term current use of insulin - Hot flashes due to menopause - Depression with anxiety - Depression, unspecified depression type - Type 2 diabetes mellitus without complication, with long-term current use of insulin - Fatigue, unspecified type - Disorder of muscle, ligament, and fascia Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -MONTELUKAST 10 MG TABLET -INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION -LISINOPRIL 5 MG TABLET -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -DEXCOM G6 SENSOR DEVICE -LANTUS SOLOSTAR U-100 INSULIN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN -DEXCOM G6 TRANSMITTER DEVICE -ESTRADIOL 1.25 GRAM/ACTUATION (0.06%) TRANSDERMAL GEL PUMP -VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR -DEXCOM G6 RECEIVER MISC Recently Ended Within 30-Days of Message: -VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR
Hi Doctor, So I am having some unexpected bleeding I need to chat with you about. I had sex with my girlfriend last night and I'm not sure if this is normal but I was just wondering if I should go to the doctor because I'm bleeding like I have my period. It doesn't seem heavy but it started right after we finished having sex. Is this cause for concern? Also, I need to update my physical address in the system. Can I do this over the portal? Thanks.
###Demographics### Age: Between 30 - 35 Gender: Female ###Full Active Problem List###: Health care maintenance - Subclinical hypothyroidism - Acanthosis nigricans - BMI 38.0-38.9,adult - Left knee pain - Mixed hyperlipidemia - Infertility management - Rh negative, antepartum - Prenatal care ###Recent Encounters (Max 10)### Diagnoses (Past Year): Prenatal care in second trimester - History of infertility - History of miscarriage - Pregnancy of unknown anatomic location - Male factor infertility - Pregnancy, unspecified gestational age - Prenatal care in first trimester - BMI 40.0-44.9, adult Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): *No Active Medications*
Patient #1
Hi, I have always worried this would happen to me and something odd happened this week. Whenever I get ready to go to bed I have always used the bathrom. But these past few weeks, I feel like I can just keep going back and back again at night and a little bit of urine will still come out. I tried not drinking any water for hours before bed yesterday and it didnt change a dang thing. Its affecting my sleep so I'd really like to chat about what we can do about this. Thanks,
###Demographics### Age: Between 60 - 65 Gender: Female ###Full Active Problem List###: Cough, persistent - Health care maintenance - Hypertension - Age-related nuclear cataract, bilateral - Knee effusion, left - Allergic rhinitis - Depression - Cough variant asthma - Vitreous floaters - Presbyopia ###Recent Encounters (Max 10)### Diagnoses (Past Year): Pelvic floor dysfunction - Mixed stress and urge urinary incontinence - Viral syndrome - Type 2 diabetes mellitus with hypoglycemia without coma, with long-term current use of insulin - Hot flashes due to menopause - Depression with anxiety - Depression, unspecified depression type - Type 2 diabetes mellitus without complication, with long-term current use of insulin - Fatigue, unspecified type - Disorder of muscle, ligament, and fascia Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -MONTELUKAST 10 MG TABLET -INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION -LISINOPRIL 5 MG TABLET -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -DEXCOM G6 SENSOR DEVICE -LANTUS SOLOSTAR U-100 INSULIN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN -DEXCOM G6 TRANSMITTER DEVICE -ESTRADIOL 1.25 GRAM/ACTUATION (0.06%) TRANSDERMAL GEL PUMP -VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR -DEXCOM G6 RECEIVER MISC Recently Ended Within 30-Days of Message: -VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR
Weird thing happening to me. I get these sudden hot flashes like, my body gets super sweaty and my heart starts racing. I have NEVER had this happen before and its really freaking me out. The first time it happened I thought "Do I have a fever?" but nope, no fever. ANd they dont stay too long and I get very cold after. The last time it happened I tried to take some tylenol right away but that did not seem to set-in in time. Anyway, would really like to come in this week. Please let me know your availability as I cannot continue to live like this.
###Demographics### Age: Between 45 - 50 Gender: Female ###Full Active Problem List###: History of colitis - Iron deficiency anemia - Chronic ulcerative proctitis - Tachycardia - Diarrhea - Type 2 diabetes mellitus without complication - SOB (shortness of breath) - DUB (dysfunctional uterine bleeding) - Depression - Cystic acne - Diabetes mellitus - Obesity - Sepsis - Migraine headache - Hyperlipidemia - History of gastric bypass - Sarcoidosis - Peptic ulcer - Insomnia - Gastroesophageal reflux disease - Moderate major depression - Dyspepsia - Crohn's disease - Anemia - Cough ###Recent Encounters (Max 10)### Diagnoses (Past Year): Gastroesophageal reflux disease, unspecified whether esophagitis present - Mild anemia - Hyperlipidemia, unspecified hyperlipidemia type - Insomnia, unspecified type - Depression, unspecified depression type - Right-sided chest wall pain - Mixed hyperlipidemia Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -PREDNISONE 20 MG TABLET -CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET -AMITRIPTYLINE 75 MG TABLET -FLUOXETINE 40 MG CAPSULE -AMITRIPTYLINE 50 MG TABLET -FERROUS SULFATE 325 MG (65 MG IRON) TABLET -FREESTYLE LIBRE 2 SENSOR KIT -AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET -OZEMPIC 1 MG/DOSE (4 MG/3 ML) SUBCUTANEOUS PEN INJECTOR -PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE
Patient #1
Hi, I have always worried this would happen to me and something odd happened this week. Whenever I get ready to go to bed I have always used the bathrom. But these past few weeks, I feel like I can just keep going back and back again at night and a little bit of urine will still come out. I tried not drinking any water for hours before bed yesterday and it didnt change a dang thing. Its affecting my sleep so I'd really like to chat about what we can do about this. Thanks,
###Demographics### Age: Between 60 - 65 Gender: Female ###Full Active Problem List###: Cough, persistent - Health care maintenance - Hypertension - Age-related nuclear cataract, bilateral - Knee effusion, left - Allergic rhinitis - Depression - Cough variant asthma - Vitreous floaters - Presbyopia ###Recent Encounters (Max 10)### Diagnoses (Past Year): Pelvic floor dysfunction - Mixed stress and urge urinary incontinence - Viral syndrome - Type 2 diabetes mellitus with hypoglycemia without coma, with long-term current use of insulin - Hot flashes due to menopause - Depression with anxiety - Depression, unspecified depression type - Type 2 diabetes mellitus without complication, with long-term current use of insulin - Fatigue, unspecified type - Disorder of muscle, ligament, and fascia Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -MONTELUKAST 10 MG TABLET -INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION -LISINOPRIL 5 MG TABLET -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -DEXCOM G6 SENSOR DEVICE -LANTUS SOLOSTAR U-100 INSULIN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN -DEXCOM G6 TRANSMITTER DEVICE -ESTRADIOL 1.25 GRAM/ACTUATION (0.06%) TRANSDERMAL GEL PUMP -VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR -DEXCOM G6 RECEIVER MISC Recently Ended Within 30-Days of Message: -VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR
I got my period on Sunday morning. It was heavy at first and now it's lighter but there is a big chunk of blood in it. Is this something to be worried about?? I have never seen this before. I took a picture if interested. If it means anything I did have sex on Thursday.
###Demographics### Age: Between 35 - 40 Gender: Female ###Full Active Problem List###: Fibromyalgia - Vitamin D deficiency - Bilateral carpal tunnel syndrome - Nicotine dependence ###Recent Encounters (Max 10)### Diagnoses (Past Year): Strain of calf muscle, left, initial encounter - Traumatic hematoma of forehead, initial encounter - Traumatic injury of head, initial encounter - Gastrocnemius strain, left, subsequent encounter - Anemia, unspecified type Diagnoses (Older): Breast pain - Weight loss - Breast lump on right side at 10 o'clock position - Chest pain, unspecified type ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM -KETOCONAZOLE 2 % SHAMPOO
Patient #1
Hi, I have always worried this would happen to me and something odd happened this week. Whenever I get ready to go to bed I have always used the bathrom. But these past few weeks, I feel like I can just keep going back and back again at night and a little bit of urine will still come out. I tried not drinking any water for hours before bed yesterday and it didnt change a dang thing. Its affecting my sleep so I'd really like to chat about what we can do about this. Thanks,
###Demographics### Age: Between 60 - 65 Gender: Female ###Full Active Problem List###: Cough, persistent - Health care maintenance - Hypertension - Age-related nuclear cataract, bilateral - Knee effusion, left - Allergic rhinitis - Depression - Cough variant asthma - Vitreous floaters - Presbyopia ###Recent Encounters (Max 10)### Diagnoses (Past Year): Pelvic floor dysfunction - Mixed stress and urge urinary incontinence - Viral syndrome - Type 2 diabetes mellitus with hypoglycemia without coma, with long-term current use of insulin - Hot flashes due to menopause - Depression with anxiety - Depression, unspecified depression type - Type 2 diabetes mellitus without complication, with long-term current use of insulin - Fatigue, unspecified type - Disorder of muscle, ligament, and fascia Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -MONTELUKAST 10 MG TABLET -INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION -LISINOPRIL 5 MG TABLET -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -DEXCOM G6 SENSOR DEVICE -LANTUS SOLOSTAR U-100 INSULIN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN -DEXCOM G6 TRANSMITTER DEVICE -ESTRADIOL 1.25 GRAM/ACTUATION (0.06%) TRANSDERMAL GEL PUMP -VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR -DEXCOM G6 RECEIVER MISC Recently Ended Within 30-Days of Message: -VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR
Hi Doctor, Reaching out about a mensrual issue I am having. So I have never had my blood clot before but now I'm noticing some clotting during my regular periods. This has happened twice in a row. The color seems normal and the smell is the same. Is this normal?
###Demographics### Age: Between 30 - 35 Gender: Female ###Full Active Problem List###: Tonsillar hypertrophy - Irritable bowel syndrome - Constipation - Postnasal drip - Anxiety - Depression - Migraine headache - Chronic urticaria - Severe dysplasia of cervix (CIN III) - Patellofemoral syndrome ###Recent Encounters (Max 10)### Diagnoses (Past Year): Nodule of neck - Situational anxiety - Acute URI Diagnoses (Older): Loss of consciousness - Change in color of pigmented skin lesion - Depression, unspecified depression type ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -HYDROXYZINE HCL 25 MG TABLET -DIAZEPAM 2 MG TABLET
Patient #1
Dr. K, I know a lot of people around here have the flu right now but thankfully I've avoided it. However, I have seem to have caught a really nasty cough. Sometimes if I take a breath that is too deep itll make me cough uncontrollably for almost ten minutes straight and I'll be gasping for breath. It's kind of scary honestly. Mucus does come up sometimes when I cough and my nose is stopped up a little, but this cough is the worst I've ever had and I want to know if I should get it checked out. Thanks
###Demographics### Age: Between 50 - 55 Gender: Male ###Full Active Problem List###: Gout - Esophageal reflux - Fatty liver - Bursitis of left knee - Apnea, sleep - Obesity - Bipolar affective disorder - Fatigue - Injury of hand, right - Sleep disturbance - Chest pain - Anxiety - Arm paresthesia, right - Tremor - Vertigo - Biceps tendon rupture, right, sequela - Hypothyroidism - Allergic reaction to shellfish ###Recent Encounters (Max 10)### Diagnoses (Past Year): Insomnia, unspecified type - Radiculopathy of lumbar region - Gastroesophageal reflux disease - Bipolar affective disorder, remission status unspecified - L4-L5 disc bulge - Long-term current use of benzodiazepine - Chronic bilateral low back pain with bilateral sciatica - Limb tremor - Hypothyroidism, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE -LEVOTHYROXINE 100 MCG TABLET -HYDROXYZINE HCL 25 MG TABLET -CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET -PRAZOSIN 2 MG CAPSULE -LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE -CLONAZEPAM 0.5 MG TABLET Recently Ended Within 30-Days of Message: -QUETIAPINE 50 MG TABLET
Doctor, I hope all is well with you and your family. I am messaging you as I took my temperature after feeilng a bit warm and coughing a bit this morning and found it to be 100.9. I thought you should know this. I think I am okay but I am home alone this weekend so I needed to make sure you knew. Thank you.
###Demographics### Age: Between 75 - 80 Gender: Female ###Full Active Problem List###: DDD (degenerative disc disease), lumbosacral - Bladder tumor - Closed die-punch intra-articular fracture of distal end of right radius - Essential hypertension - Spinal stenosis, lumbar region, without neurogenic claudication - Takotsubo cardiomyopathy - DJD (degenerative joint disease) of hip - Wrist fracture, closed, right, initial encounter - Distal radius fracture, left - Sacroiliac joint dysfunction of both sides - Radiculopathy of lumbar region - Bladder cancer - Unspecified abnormal findings in urine - Carpal tunnel syndrome on left - Adnexal mass - Osteopenia - Microhematuria - Healthcare maintenance - Arthritis of carpometacarpal (CMC) joint of left thumb - Arthritis of carpometacarpal (CMC) joint of right thumb ###Recent Encounters (Max 10)### Diagnoses (Past Year): On statin therapy due to risk of future cardiovascular event - Malignant neoplasm of urinary bladder, unspecified site - Hypertension, unspecified type - Unspecified abnormal finding in specimens from female genital organs - Pelvic mass in female - History of cardiomyopathy - Malignant neoplasm of lateral wall of urinary bladder Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR -ATORVASTATIN 10 MG TABLET -PREGABALIN 75 MG CAPSULE -CELECOXIB 200 MG CAPSULE -HYDROCHLOROTHIAZIDE 25 MG TABLET
Patient #1
Dr. K, I know a lot of people around here have the flu right now but thankfully I've avoided it. However, I have seem to have caught a really nasty cough. Sometimes if I take a breath that is too deep itll make me cough uncontrollably for almost ten minutes straight and I'll be gasping for breath. It's kind of scary honestly. Mucus does come up sometimes when I cough and my nose is stopped up a little, but this cough is the worst I've ever had and I want to know if I should get it checked out. Thanks
###Demographics### Age: Between 50 - 55 Gender: Male ###Full Active Problem List###: Gout - Esophageal reflux - Fatty liver - Bursitis of left knee - Apnea, sleep - Obesity - Bipolar affective disorder - Fatigue - Injury of hand, right - Sleep disturbance - Chest pain - Anxiety - Arm paresthesia, right - Tremor - Vertigo - Biceps tendon rupture, right, sequela - Hypothyroidism - Allergic reaction to shellfish ###Recent Encounters (Max 10)### Diagnoses (Past Year): Insomnia, unspecified type - Radiculopathy of lumbar region - Gastroesophageal reflux disease - Bipolar affective disorder, remission status unspecified - L4-L5 disc bulge - Long-term current use of benzodiazepine - Chronic bilateral low back pain with bilateral sciatica - Limb tremor - Hypothyroidism, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE -LEVOTHYROXINE 100 MCG TABLET -HYDROXYZINE HCL 25 MG TABLET -CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET -PRAZOSIN 2 MG CAPSULE -LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE -CLONAZEPAM 0.5 MG TABLET Recently Ended Within 30-Days of Message: -QUETIAPINE 50 MG TABLET
Hi Doctor, I am reaching out about some chest and breathing discomfort i've been having the past month or so. The feeling is like a tightness in my upper chest which causes me to feel short of breath, and as a result, I feel the need to take very deep breaths, which will often temporarily help for maybe 20 seconds or so. In other words, my standard breathing doesn't feel like it's enough, and so I feel this discomfort. I honestly felt for a while like it was correlated with my anxiety spikes, but now I am not so sure. Figured this is something I should message you about.
###Demographics### Age: Between 45 - 50 Gender: Female ###Full Active Problem List###: Nausea - Erythema annulare centrifugum - Vitamin D deficiency - Morbid obesity with BMI of 50.0-59.9, adult - Hirsutism - Immunization not carried out because of patient decision - Incomplete right bundle branch block (RBBB) - Weight gain following gastric bypass surgery - GI bleed - Stress fracture of right tibia - OSA (obstructive sleep apnea) - Obesity - SVT (supraventricular tachycardia) - Left-sided low back pain without sciatica - Chronic diarrhea - Palpitations - Dyspareunia, female - Atopic dermatitis - Gastroesophageal reflux disease - Splenomegaly - Fibroid uterus ###Recent Encounters (Max 10)### Diagnoses (Past Year): Upper abdominal pain - Acute left-sided low back pain without sciatica - Earache on left - Status post bariatric surgery - Bilateral impacted cerumen - Acute UTI (urinary tract infection) - Atrial fibrillation, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR -NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE -TRAMADOL 50 MG TABLET -GABAPENTIN 300 MG CAPSULE -ONDANSETRON 4 MG DISINTEGRATING TABLET -METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR -NORTRIPTYLINE 25 MG CAPSULE -FLECAINIDE 100 MG TABLET -DULOXETINE 20 MG CAPSULE,DELAYED RELEASE -PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE Recently Ended Within 30-Days of Message: -FLECAINIDE 50 MG TABLET
Patient #2
Dr. K, I know a lot of people around here have the flu right now but thankfully I've avoided it. However, I have seem to have caught a really nasty cough. Sometimes if I take a breath that is too deep itll make me cough uncontrollably for almost ten minutes straight and I'll be gasping for breath. It's kind of scary honestly. Mucus does come up sometimes when I cough and my nose is stopped up a little, but this cough is the worst I've ever had and I want to know if I should get it checked out. Thanks
###Demographics### Age: Between 50 - 55 Gender: Male ###Full Active Problem List###: Gout - Esophageal reflux - Fatty liver - Bursitis of left knee - Apnea, sleep - Obesity - Bipolar affective disorder - Fatigue - Injury of hand, right - Sleep disturbance - Chest pain - Anxiety - Arm paresthesia, right - Tremor - Vertigo - Biceps tendon rupture, right, sequela - Hypothyroidism - Allergic reaction to shellfish ###Recent Encounters (Max 10)### Diagnoses (Past Year): Insomnia, unspecified type - Radiculopathy of lumbar region - Gastroesophageal reflux disease - Bipolar affective disorder, remission status unspecified - L4-L5 disc bulge - Long-term current use of benzodiazepine - Chronic bilateral low back pain with bilateral sciatica - Limb tremor - Hypothyroidism, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE -LEVOTHYROXINE 100 MCG TABLET -HYDROXYZINE HCL 25 MG TABLET -CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET -PRAZOSIN 2 MG CAPSULE -LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE -CLONAZEPAM 0.5 MG TABLET Recently Ended Within 30-Days of Message: -QUETIAPINE 50 MG TABLET
Doctor S, For the last few days i've experienced a shortness of breath along with runny nose and a bad cough. I am also wheezing a bit. I'm not sure if it will go away with some home remedies but I keep geting into a bad cough which leads me to lose my breath, then I have to sit and go to a cool room to cool off and catch my breath, practically gasping for breath until it calms and then I resume my normal activities. I know I am scheduled to come in next thursday but I am wondering if you could find time to see me today?
###Demographics### Age: Between 40 - 45 Gender: Female ###Full Active Problem List###: Fibromyalgia - ASCUS with positive high risk HPV cervical - Pain of right sacroiliac joint - Irritable bowel syndrome - Persistent depressive disorder with anxious distress, currently moderate - Obstructive sleep apnea syndrome - Anxiety - Pain in right hip - Chronic neck pain - Post-traumatic stress disorder, chronic - Dysmenorrhea - Intractable periodic headache syndrome - Weight loss - Congenital valgus deformity of knee ###Recent Encounters (Max 10)### Diagnoses (Past Year): Diarrhea, unspecified type - Chronic abdominal pain - LLQ abdominal pain - Chronic nausea - RLQ abdominal pain - Irritable bowel syndrome with diarrhea Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -SUMATRIPTAN 50 MG TABLET -LORAZEPAM 0.5 MG TABLET -ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM -TOPIRAMATE 25 MG TABLET -OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE -HYOSCYAMINE SULFATE 0.125 MG TABLET -NORTRIPTYLINE 10 MG CAPSULE -FLUOXETINE 20 MG CAPSULE -VALACYCLOVIR 1 GRAM TABLET -ETONOGESTREL 0.12 MG-ETHINYL ESTRADIOL 0.015 MG/24 HR VAGINAL RING
Patient #2
Dr. K, I know a lot of people around here have the flu right now but thankfully I've avoided it. However, I have seem to have caught a really nasty cough. Sometimes if I take a breath that is too deep itll make me cough uncontrollably for almost ten minutes straight and I'll be gasping for breath. It's kind of scary honestly. Mucus does come up sometimes when I cough and my nose is stopped up a little, but this cough is the worst I've ever had and I want to know if I should get it checked out. Thanks
###Demographics### Age: Between 50 - 55 Gender: Male ###Full Active Problem List###: Gout - Esophageal reflux - Fatty liver - Bursitis of left knee - Apnea, sleep - Obesity - Bipolar affective disorder - Fatigue - Injury of hand, right - Sleep disturbance - Chest pain - Anxiety - Arm paresthesia, right - Tremor - Vertigo - Biceps tendon rupture, right, sequela - Hypothyroidism - Allergic reaction to shellfish ###Recent Encounters (Max 10)### Diagnoses (Past Year): Insomnia, unspecified type - Radiculopathy of lumbar region - Gastroesophageal reflux disease - Bipolar affective disorder, remission status unspecified - L4-L5 disc bulge - Long-term current use of benzodiazepine - Chronic bilateral low back pain with bilateral sciatica - Limb tremor - Hypothyroidism, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE -LEVOTHYROXINE 100 MCG TABLET -HYDROXYZINE HCL 25 MG TABLET -CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET -PRAZOSIN 2 MG CAPSULE -LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE -CLONAZEPAM 0.5 MG TABLET Recently Ended Within 30-Days of Message: -QUETIAPINE 50 MG TABLET
Doctor S, So I have been getting over a cold, lots of sneezing going on. Today, I sneezed and felt a pop in my rib cage and sharp pain at the same time. It totally took my breath away and the spot feels very sore. Every sneeze since has been super painful and I think I'd like to come in and get this checked out.
###Demographics### Age: Between 60 - 65 Gender: Male ###Full Active Problem List###: Reactive arthritis - Dysplastic nevus - PAF (paroxysmal atrial fibrillation) - Post-traumatic osteoarthritis of right knee - TIA due to embolism - Psoriatic arthritis - APC (atrial premature contractions) - PFO (patent foramen ovale) - Sinus bradycardia - Acute pain - Floater, vitreous - Macrocytosis without anemia - Neurocardiogenic pre-syncope - HTN (hypertension) - Hyperlipidemia ###Recent Encounters (Max 10)### Diagnoses (Past Year): Hyperlipidemia, unspecified hyperlipidemia type - Hypertension, essential, benign - Hypertension, unspecified type - Reactive arthritis, unspecified site - Primary hypertension - Tachycardia Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR -AMLODIPINE 5 MG TABLET -OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE -APIXABAN 5 MG TABLET -CIMZIA 400 MG/2 ML (200 MG/ML X 2) SUBCUTANEOUS SYRINGE KIT
Patient #1
Dr. K, I know a lot of people around here have the flu right now but thankfully I've avoided it. However, I have seem to have caught a really nasty cough. Sometimes if I take a breath that is too deep itll make me cough uncontrollably for almost ten minutes straight and I'll be gasping for breath. It's kind of scary honestly. Mucus does come up sometimes when I cough and my nose is stopped up a little, but this cough is the worst I've ever had and I want to know if I should get it checked out. Thanks
###Demographics### Age: Between 50 - 55 Gender: Male ###Full Active Problem List###: Gout - Esophageal reflux - Fatty liver - Bursitis of left knee - Apnea, sleep - Obesity - Bipolar affective disorder - Fatigue - Injury of hand, right - Sleep disturbance - Chest pain - Anxiety - Arm paresthesia, right - Tremor - Vertigo - Biceps tendon rupture, right, sequela - Hypothyroidism - Allergic reaction to shellfish ###Recent Encounters (Max 10)### Diagnoses (Past Year): Insomnia, unspecified type - Radiculopathy of lumbar region - Gastroesophageal reflux disease - Bipolar affective disorder, remission status unspecified - L4-L5 disc bulge - Long-term current use of benzodiazepine - Chronic bilateral low back pain with bilateral sciatica - Limb tremor - Hypothyroidism, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE -LEVOTHYROXINE 100 MCG TABLET -HYDROXYZINE HCL 25 MG TABLET -CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET -PRAZOSIN 2 MG CAPSULE -LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE -CLONAZEPAM 0.5 MG TABLET Recently Ended Within 30-Days of Message: -QUETIAPINE 50 MG TABLET
Doctor, This week I started experiencing something a bit new for me. So in the middle of the night I find that my chest and back feel very sweaty. Sometimes damp, othertimes soaked. I don't think its because my room is too hot, as it's been at the normal temperature. This just happened all of the sudden to me this week and I wanted to ask about it.
###Demographics### Age: Between 45 - 50 Gender: Female ###Full Active Problem List###: Gestational diabetes - Fatigue - Anxiety disorder - Adjustment reaction - Myalgia - Chlamydia trachomatis infection of genital structure - Thoracic or lumbosacral neuritis or radiculitis - Depressive disorder - Breast disorder ###Recent Encounters (Max 10)### Diagnoses (Past Year): Menorrhagia with regular cycle - Vaginal bleeding problems - Adenomyosis - Anemia due to chronic blood loss - Closed nondisplaced pilon fracture of left tibia with routine healing, subsequent encounter - Arthritis of left knee - Elevated blood pressure reading without diagnosis of hypertension - Acute left ankle pain - Closed displaced pilon fracture of left tibia with routine healing, subsequent encounter Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -NORETHINDRONE ACETATE 5 MG TABLET -FERROUS SULFATE 325 MG (65 MG IRON) TABLET,DELAYED RELEASE -NORETHINDRONE (CONTRACEPTIVE) 0.35 MG TABLET Recently Ended Within 30-Days of Message: -TRANEXAMIC ACID 650 MG TABLET
Patient #1
Dr. K, I know a lot of people around here have the flu right now but thankfully I've avoided it. However, I have seem to have caught a really nasty cough. Sometimes if I take a breath that is too deep itll make me cough uncontrollably for almost ten minutes straight and I'll be gasping for breath. It's kind of scary honestly. Mucus does come up sometimes when I cough and my nose is stopped up a little, but this cough is the worst I've ever had and I want to know if I should get it checked out. Thanks
###Demographics### Age: Between 50 - 55 Gender: Male ###Full Active Problem List###: Gout - Esophageal reflux - Fatty liver - Bursitis of left knee - Apnea, sleep - Obesity - Bipolar affective disorder - Fatigue - Injury of hand, right - Sleep disturbance - Chest pain - Anxiety - Arm paresthesia, right - Tremor - Vertigo - Biceps tendon rupture, right, sequela - Hypothyroidism - Allergic reaction to shellfish ###Recent Encounters (Max 10)### Diagnoses (Past Year): Insomnia, unspecified type - Radiculopathy of lumbar region - Gastroesophageal reflux disease - Bipolar affective disorder, remission status unspecified - L4-L5 disc bulge - Long-term current use of benzodiazepine - Chronic bilateral low back pain with bilateral sciatica - Limb tremor - Hypothyroidism, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE -LEVOTHYROXINE 100 MCG TABLET -HYDROXYZINE HCL 25 MG TABLET -CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET -PRAZOSIN 2 MG CAPSULE -LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE -CLONAZEPAM 0.5 MG TABLET Recently Ended Within 30-Days of Message: -QUETIAPINE 50 MG TABLET
Hi Doc, I thought I just had the flu but my fever has gone up to 103 and has gone as low as 97 over the past couple of days. From a quick google this seems very off. I am messaging you as I am afraid to go to urgent care due to my insurance. But yeah, anytime my fever gets super high I can alleviate it with tylenol. I have most other basic flu symptoms. But I felt like 103 was really high. Yet, it does go away with meds, so do I just need to ride this out? i hoep so...
###Demographics### Age: Between 45 - 50 Gender: Male ###Full Active Problem List###: Heartburn - Daytime somnolence - Low back pain - Prostate disorder - Snoring - Gastroesophageal reflux disease with esophagitis - Insomnia - Migraine without aura and without status migrainosus, not intractable - Observed sleep apnea - Forgetfulness - Neck pain - Anxiety - Unable to concentrate - Cherry angioma - Depression with anxiety - Seasonal allergies ###Recent Encounters (Max 10)### Diagnoses (Past Year): Chest pain, unspecified type Diagnoses (Older): Insomnia, unspecified type - Epigastric pain - Seborrheic keratoses, inflamed - Diminished night vision ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): *No Active Medications*
Patient #1
Dr. K, I know a lot of people around here have the flu right now but thankfully I've avoided it. However, I have seem to have caught a really nasty cough. Sometimes if I take a breath that is too deep itll make me cough uncontrollably for almost ten minutes straight and I'll be gasping for breath. It's kind of scary honestly. Mucus does come up sometimes when I cough and my nose is stopped up a little, but this cough is the worst I've ever had and I want to know if I should get it checked out. Thanks
###Demographics### Age: Between 50 - 55 Gender: Male ###Full Active Problem List###: Gout - Esophageal reflux - Fatty liver - Bursitis of left knee - Apnea, sleep - Obesity - Bipolar affective disorder - Fatigue - Injury of hand, right - Sleep disturbance - Chest pain - Anxiety - Arm paresthesia, right - Tremor - Vertigo - Biceps tendon rupture, right, sequela - Hypothyroidism - Allergic reaction to shellfish ###Recent Encounters (Max 10)### Diagnoses (Past Year): Insomnia, unspecified type - Radiculopathy of lumbar region - Gastroesophageal reflux disease - Bipolar affective disorder, remission status unspecified - L4-L5 disc bulge - Long-term current use of benzodiazepine - Chronic bilateral low back pain with bilateral sciatica - Limb tremor - Hypothyroidism, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE -LEVOTHYROXINE 100 MCG TABLET -HYDROXYZINE HCL 25 MG TABLET -CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET -PRAZOSIN 2 MG CAPSULE -LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE -CLONAZEPAM 0.5 MG TABLET Recently Ended Within 30-Days of Message: -QUETIAPINE 50 MG TABLET
Dr. J, I developed a fever last night, accompanied by frequent diarrhea, as well as a mild headache. Advil has been effective at managing the fever but nothing I seem to do helps my stomach problems. What should I do??
###Demographics### Age: Between 30 - 35 Gender: Female ###Full Active Problem List###: Menorrhagia with regular cycle - Pre-conception counseling - IUD (intrauterine device) in place - Vulvar cyst - Asthma, exercise induced - Labor without complication - Pain in right wrist - Grief reaction - Mild intermittent asthma, uncomplicated ###Recent Encounters (Max 10)### Diagnoses (Past Year): Allergic rhinitis, unspecified seasonality, unspecified trigger - Hypertrophy of nasal turbinates - Acne vulgaris - Breast lump on left side at 8 o'clock position - Encounter for cosmetic procedure - Delayed sleep phase syndrome - Nasal obstruction - Deviated nasal septum - DH ERRONEOUS ENCOUNTER Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM -TRETINOIN 0.025 % TOPICAL CREAM -AZELASTINE 137 MCG (0.1 %) NASAL SPRAY AEROSOL -INHALATIONAL SPACING DEVICE -FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION
Patient #1
Dr. K, I know a lot of people around here have the flu right now but thankfully I've avoided it. However, I have seem to have caught a really nasty cough. Sometimes if I take a breath that is too deep itll make me cough uncontrollably for almost ten minutes straight and I'll be gasping for breath. It's kind of scary honestly. Mucus does come up sometimes when I cough and my nose is stopped up a little, but this cough is the worst I've ever had and I want to know if I should get it checked out. Thanks
###Demographics### Age: Between 50 - 55 Gender: Male ###Full Active Problem List###: Gout - Esophageal reflux - Fatty liver - Bursitis of left knee - Apnea, sleep - Obesity - Bipolar affective disorder - Fatigue - Injury of hand, right - Sleep disturbance - Chest pain - Anxiety - Arm paresthesia, right - Tremor - Vertigo - Biceps tendon rupture, right, sequela - Hypothyroidism - Allergic reaction to shellfish ###Recent Encounters (Max 10)### Diagnoses (Past Year): Insomnia, unspecified type - Radiculopathy of lumbar region - Gastroesophageal reflux disease - Bipolar affective disorder, remission status unspecified - L4-L5 disc bulge - Long-term current use of benzodiazepine - Chronic bilateral low back pain with bilateral sciatica - Limb tremor - Hypothyroidism, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE -LEVOTHYROXINE 100 MCG TABLET -HYDROXYZINE HCL 25 MG TABLET -CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET -PRAZOSIN 2 MG CAPSULE -LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE -CLONAZEPAM 0.5 MG TABLET Recently Ended Within 30-Days of Message: -QUETIAPINE 50 MG TABLET
Hi, this is MG writing on behalf of JG. JG has has a low grade fever since 2 days ago. No other major symptoms, just a low-grade fever(99.9 - 101.0). JG has been cold and tired but thats about it for other symptoms. I am just worried about him and wonder if he should come see you.
###Demographics### Age: Between 70 - 75 Gender: Male ###Full Active Problem List###: Elevated fasting glucose - Abnormal PFT - Dizziness - Partial small bowel obstruction - Prostate cancer - Allergy to insect stings - Essential hypertension - Prediabetes - Neck pain, bilateral - Breast mass - Elevated PSA - Post-splenectomy - NSTEMI (non-ST elevated myocardial infarction) ###Recent Encounters (Max 10)### Diagnoses (Past Year): Imbalance - Nonrheumatic aortic valve insufficiency - Primary open angle glaucoma (POAG) of both eyes, mild stage - Hodgkin lymphoma, unspecified Hodgkin lymphoma type, unspecified body region - Rectal bleeding - Radiation fibrosis of lung - Chronic obstructive pulmonary disease, unspecified COPD type - Bronchiectasis without complication - Restrictive lung disease - Hypothyroidism, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -BETAXOLOL 0.5 % EYE DROPS -MECLIZINE 25 MG TABLET -SPIRIVA RESPIMAT 2.5 MCG/ACTUATION SOLUTION FOR INHALATION -BENZONATATE 100 MG CAPSULE -EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR -APIXABAN 5 MG TABLET -HYDROCORTISONE 2.5 % TOPICAL CREAM -ATORVASTATIN 80 MG TABLET -LEVOTHYROXINE 125 MCG TABLET -LOSARTAN 100 MG TABLET Recently Ended Within 30-Days of Message: -LACTOBACILLUS RHAMNOSUS GG 10 BILLION CELL CAPSULE
Patient #2
Dr. K, I know a lot of people around here have the flu right now but thankfully I've avoided it. However, I have seem to have caught a really nasty cough. Sometimes if I take a breath that is too deep itll make me cough uncontrollably for almost ten minutes straight and I'll be gasping for breath. It's kind of scary honestly. Mucus does come up sometimes when I cough and my nose is stopped up a little, but this cough is the worst I've ever had and I want to know if I should get it checked out. Thanks
###Demographics### Age: Between 50 - 55 Gender: Male ###Full Active Problem List###: Gout - Esophageal reflux - Fatty liver - Bursitis of left knee - Apnea, sleep - Obesity - Bipolar affective disorder - Fatigue - Injury of hand, right - Sleep disturbance - Chest pain - Anxiety - Arm paresthesia, right - Tremor - Vertigo - Biceps tendon rupture, right, sequela - Hypothyroidism - Allergic reaction to shellfish ###Recent Encounters (Max 10)### Diagnoses (Past Year): Insomnia, unspecified type - Radiculopathy of lumbar region - Gastroesophageal reflux disease - Bipolar affective disorder, remission status unspecified - L4-L5 disc bulge - Long-term current use of benzodiazepine - Chronic bilateral low back pain with bilateral sciatica - Limb tremor - Hypothyroidism, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE -LEVOTHYROXINE 100 MCG TABLET -HYDROXYZINE HCL 25 MG TABLET -CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET -PRAZOSIN 2 MG CAPSULE -LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE -CLONAZEPAM 0.5 MG TABLET Recently Ended Within 30-Days of Message: -QUETIAPINE 50 MG TABLET
Hey Doc, Since last night, I have had this low-grade fever (101.4), extremely sore throat, cough, and loss of voice. Can you write me something for an antibiotic? I must have strep. I just know it.
###Demographics### Age: Between 45 - 50 Gender: Female ###Full Active Problem List###: Acquired absence of part of stomach - Chronic abdominal pain - Hypercholesterolemia - Steatosis of liver - Status post bariatric surgery - Miscarriage - Ventral hernia without obstruction or gangrene - Hx of gastric bypass - Gastroesophageal reflux disease - Infertility of tubal origin - Vitamin D deficiency - Postoperative hypothyroidism - Asthma - Frequent unifocal PVCs - Hypothyroidism - Vasovagal episode - Encounter for preconception consultation ###Recent Encounters (Max 10)### Diagnoses (Past Year): Disorder of iron metabolism - Vitamin B12 deficiency - S/P bariatric surgery - Pelvic pain in female - Iron deficiency anemia, unspecified iron deficiency anemia type - Microhematuria - Fever, unspecified fever cause - Other intestinal malabsorption Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -FAMOTIDINE 40 MG TABLET -OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR -FREESTYLE LIBRE 2 READER -FREESTYLE LIBRE 2 SENSOR KIT -PHENAZOPYRIDINE 200 MG TABLET -GLUCAGON 3 MG/ACTUATION NASAL SPRAY -METOCLOPRAMIDE 10 MG TABLET -IBUPROFEN 600 MG TABLET
Patient #1
Dr. K, I know a lot of people around here have the flu right now but thankfully I've avoided it. However, I have seem to have caught a really nasty cough. Sometimes if I take a breath that is too deep itll make me cough uncontrollably for almost ten minutes straight and I'll be gasping for breath. It's kind of scary honestly. Mucus does come up sometimes when I cough and my nose is stopped up a little, but this cough is the worst I've ever had and I want to know if I should get it checked out. Thanks
###Demographics### Age: Between 50 - 55 Gender: Male ###Full Active Problem List###: Gout - Esophageal reflux - Fatty liver - Bursitis of left knee - Apnea, sleep - Obesity - Bipolar affective disorder - Fatigue - Injury of hand, right - Sleep disturbance - Chest pain - Anxiety - Arm paresthesia, right - Tremor - Vertigo - Biceps tendon rupture, right, sequela - Hypothyroidism - Allergic reaction to shellfish ###Recent Encounters (Max 10)### Diagnoses (Past Year): Insomnia, unspecified type - Radiculopathy of lumbar region - Gastroesophageal reflux disease - Bipolar affective disorder, remission status unspecified - L4-L5 disc bulge - Long-term current use of benzodiazepine - Chronic bilateral low back pain with bilateral sciatica - Limb tremor - Hypothyroidism, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE -LEVOTHYROXINE 100 MCG TABLET -HYDROXYZINE HCL 25 MG TABLET -CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET -PRAZOSIN 2 MG CAPSULE -LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE -CLONAZEPAM 0.5 MG TABLET Recently Ended Within 30-Days of Message: -QUETIAPINE 50 MG TABLET
I just had my first period after giving birth and I've been having pretty heavy bleeding for 4 days now. I am soaking through many more pads per day than normal. I feel like everytime I go to the bathroom there is just so much blood and I dont know what to do. My flow has not slowed down at all. is this normal??
###Demographics### Age: Between 35 - 40 Gender: Female ###Full Active Problem List###: Left tubal pregnancy without intrauterine pregnancy ###Recent Encounters (Max 10)### Diagnoses (Past Year): Reactive depression (situational) Diagnoses (Older): Multiple benign nevi - IUD (intrauterine device) in place - Onychocryptosis - Intrauterine contraceptive device threads lost, initial encounter - Cherry angioma - Abnormal ultrasound - Encounter for postpartum care of lactating mother ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE -FLUOXETINE 20 MG CAPSULE -LEVONORGESTREL 0.15 MG-ETHINYL ESTRADIOL 30 MCG TABLETS,3 MOS PACK(91)
Patient #2
Dr. K, I know a lot of people around here have the flu right now but thankfully I've avoided it. However, I have seem to have caught a really nasty cough. Sometimes if I take a breath that is too deep itll make me cough uncontrollably for almost ten minutes straight and I'll be gasping for breath. It's kind of scary honestly. Mucus does come up sometimes when I cough and my nose is stopped up a little, but this cough is the worst I've ever had and I want to know if I should get it checked out. Thanks
###Demographics### Age: Between 50 - 55 Gender: Male ###Full Active Problem List###: Gout - Esophageal reflux - Fatty liver - Bursitis of left knee - Apnea, sleep - Obesity - Bipolar affective disorder - Fatigue - Injury of hand, right - Sleep disturbance - Chest pain - Anxiety - Arm paresthesia, right - Tremor - Vertigo - Biceps tendon rupture, right, sequela - Hypothyroidism - Allergic reaction to shellfish ###Recent Encounters (Max 10)### Diagnoses (Past Year): Insomnia, unspecified type - Radiculopathy of lumbar region - Gastroesophageal reflux disease - Bipolar affective disorder, remission status unspecified - L4-L5 disc bulge - Long-term current use of benzodiazepine - Chronic bilateral low back pain with bilateral sciatica - Limb tremor - Hypothyroidism, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE -LEVOTHYROXINE 100 MCG TABLET -HYDROXYZINE HCL 25 MG TABLET -CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET -PRAZOSIN 2 MG CAPSULE -LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE -CLONAZEPAM 0.5 MG TABLET Recently Ended Within 30-Days of Message: -QUETIAPINE 50 MG TABLET
Hi, I am scared. I have been bleeding very heavily (like soaking through 1 maxi pad per 30 minutes consistently)! I don't know if this is normal or if I should seek immediate medical attention or if it could be a cyst bursting? I have also been cramping TERRIBLY. Please let me know what next steps should be. I tried calling and didn't hear back and I live sort of far from an urgent care.
###Demographics### Age: Between 25 - 30 Gender: Female ###Full Active Problem List###: Attention deficit hyperactivity disorder (ADHD) - Migraines - Hyperopia, bilateral - Iron deficiency anemia - Trigeminal neuralgia - Anxiety - Severe episode of recurrent major depressive disorder - Post-traumatic stress disorder, chronic - Asthma - History of substance abuse ###Recent Encounters (Max 10)### Diagnoses (Past Year): Asthma, unspecified asthma severity, unspecified whether complicated, unspecified whether persistent - Excessive bleeding in premenopausal period - Asymptomatic microscopic hematuria - Dysuria - Mastalgia - Menorrhagia with irregular cycle - Iron deficiency anemia due to chronic blood loss - Mild intermittent asthma with acute exacerbation - Easy bruising - Abnormal uterine bleeding (AUB) Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -MONTELUKAST 10 MG TABLET -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN -FERROUS SULFATE 325 MG (65 MG IRON) TABLET -EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR -FLOVENT HFA 220 MCG/ACTUATION AEROSOL INHALER
Patient #1
Dr. K, I know a lot of people around here have the flu right now but thankfully I've avoided it. However, I have seem to have caught a really nasty cough. Sometimes if I take a breath that is too deep itll make me cough uncontrollably for almost ten minutes straight and I'll be gasping for breath. It's kind of scary honestly. Mucus does come up sometimes when I cough and my nose is stopped up a little, but this cough is the worst I've ever had and I want to know if I should get it checked out. Thanks
###Demographics### Age: Between 50 - 55 Gender: Male ###Full Active Problem List###: Gout - Esophageal reflux - Fatty liver - Bursitis of left knee - Apnea, sleep - Obesity - Bipolar affective disorder - Fatigue - Injury of hand, right - Sleep disturbance - Chest pain - Anxiety - Arm paresthesia, right - Tremor - Vertigo - Biceps tendon rupture, right, sequela - Hypothyroidism - Allergic reaction to shellfish ###Recent Encounters (Max 10)### Diagnoses (Past Year): Insomnia, unspecified type - Radiculopathy of lumbar region - Gastroesophageal reflux disease - Bipolar affective disorder, remission status unspecified - L4-L5 disc bulge - Long-term current use of benzodiazepine - Chronic bilateral low back pain with bilateral sciatica - Limb tremor - Hypothyroidism, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE -LEVOTHYROXINE 100 MCG TABLET -HYDROXYZINE HCL 25 MG TABLET -CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET -PRAZOSIN 2 MG CAPSULE -LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE -CLONAZEPAM 0.5 MG TABLET Recently Ended Within 30-Days of Message: -QUETIAPINE 50 MG TABLET
Hi Doctor M, I have been delyaing sending this message but recently my periods have gotten much more painful. I have a pretty high pain tolerance, but my cramps will have me in tears. This feels abnormal + the blood is very thick and dark. I'd really like to come in and chat about this in person. Please let me know your availability. Also, my phone is currently not working so please message me here if possible.
###Demographics### Age: Between 25 - 30 Gender: Female ###Full Active Problem List###: Flu vaccine need - Need for hepatitis A vaccination - Eczema - Mixed anxiety and depressive disorder - Immunization, tetanus toxoid - Encounter for screening for HIV ###Recent Encounters (Max 10)### Diagnoses (Past Year): Heavy alcohol use - Adjustment reaction with anxiety and depression - Class 3 severe obesity with body mass index (BMI) of 45.0 to 49.9 in adult, unspecified obesity type, unspecified whether serious comorbidity present - Intermittent palpitations - Vitamin D deficiency Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -NALTREXONE 50 MG TABLET -ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE -TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM -BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE Recently Ended Within 30-Days of Message: -NALTREXONE 8 MG-BUPROPION 90 MG TABLET,EXTENDED RELEASE
Patient #1
Dr. K, I know a lot of people around here have the flu right now but thankfully I've avoided it. However, I have seem to have caught a really nasty cough. Sometimes if I take a breath that is too deep itll make me cough uncontrollably for almost ten minutes straight and I'll be gasping for breath. It's kind of scary honestly. Mucus does come up sometimes when I cough and my nose is stopped up a little, but this cough is the worst I've ever had and I want to know if I should get it checked out. Thanks
###Demographics### Age: Between 50 - 55 Gender: Male ###Full Active Problem List###: Gout - Esophageal reflux - Fatty liver - Bursitis of left knee - Apnea, sleep - Obesity - Bipolar affective disorder - Fatigue - Injury of hand, right - Sleep disturbance - Chest pain - Anxiety - Arm paresthesia, right - Tremor - Vertigo - Biceps tendon rupture, right, sequela - Hypothyroidism - Allergic reaction to shellfish ###Recent Encounters (Max 10)### Diagnoses (Past Year): Insomnia, unspecified type - Radiculopathy of lumbar region - Gastroesophageal reflux disease - Bipolar affective disorder, remission status unspecified - L4-L5 disc bulge - Long-term current use of benzodiazepine - Chronic bilateral low back pain with bilateral sciatica - Limb tremor - Hypothyroidism, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE -LEVOTHYROXINE 100 MCG TABLET -HYDROXYZINE HCL 25 MG TABLET -CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET -PRAZOSIN 2 MG CAPSULE -LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE -CLONAZEPAM 0.5 MG TABLET Recently Ended Within 30-Days of Message: -QUETIAPINE 50 MG TABLET
Dr Z, My period was due on the 21st and I've taken pregnancy tests that have come back negative. I normally I get severe menstrual cramps that I take Co-codamol to deal with, and I am now getting this pain is similar to what I experience then but in the wrong place. The pain seems to be worse when I urinate, and I am unsure if this is all realted to my period or something else? Would really apprecaite your feedback!!
###Demographics### Age: Between 25 - 30 Gender: Female ###Full Active Problem List###: Endometriosis - Spondyloarthropathy - Chronic pelvic pain in female - Ankle instability, left - Migraine - Alternating constipation and diarrhea ###Recent Encounters (Max 10)### Diagnoses (Past Year): Sacral pain - Non-radiographic axial spondyloarthritis - High risk medication use - Chronic migraine without aura without status migrainosus, not intractable - Nocturnal pain - Back strain, subsequent encounter - Sore throat - Paresthesias - Tingling in extremities - Lumbar spondylosis Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -CYCLOBENZAPRINE 5 MG TABLET -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -ONDANSETRON HCL 4 MG TABLET -KETOROLAC 10 MG TABLET -TOPIRAMATE 25 MG TABLET -HUMIRA(CF) PEN 40 MG/0.4 ML SUBCUTANEOUS KIT -GABAPENTIN 100 MG CAPSULE -CITALOPRAM 20 MG TABLET -LORAZEPAM 1 MG TABLET -LIDOCAINE HCL 2 % MUCOSAL JELLY
Patient #2
Dr. K, I know a lot of people around here have the flu right now but thankfully I've avoided it. However, I have seem to have caught a really nasty cough. Sometimes if I take a breath that is too deep itll make me cough uncontrollably for almost ten minutes straight and I'll be gasping for breath. It's kind of scary honestly. Mucus does come up sometimes when I cough and my nose is stopped up a little, but this cough is the worst I've ever had and I want to know if I should get it checked out. Thanks
###Demographics### Age: Between 50 - 55 Gender: Male ###Full Active Problem List###: Gout - Esophageal reflux - Fatty liver - Bursitis of left knee - Apnea, sleep - Obesity - Bipolar affective disorder - Fatigue - Injury of hand, right - Sleep disturbance - Chest pain - Anxiety - Arm paresthesia, right - Tremor - Vertigo - Biceps tendon rupture, right, sequela - Hypothyroidism - Allergic reaction to shellfish ###Recent Encounters (Max 10)### Diagnoses (Past Year): Insomnia, unspecified type - Radiculopathy of lumbar region - Gastroesophageal reflux disease - Bipolar affective disorder, remission status unspecified - L4-L5 disc bulge - Long-term current use of benzodiazepine - Chronic bilateral low back pain with bilateral sciatica - Limb tremor - Hypothyroidism, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE -LEVOTHYROXINE 100 MCG TABLET -HYDROXYZINE HCL 25 MG TABLET -CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET -PRAZOSIN 2 MG CAPSULE -LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE -CLONAZEPAM 0.5 MG TABLET Recently Ended Within 30-Days of Message: -QUETIAPINE 50 MG TABLET
Hi Doctor, As you know, I have been getting menstural cramps for years now, but lately they have gotten worse. I used to tolerate them okay but the cramps are so bad that I can barely move at all, and they're getting worse every month. The only thing that works is heating pads. But even then it's not helping much. So yeah it's gotten to the point that I really wanted to schedule something with you to talk about this. I don't known if I need a stronger NSAID or if there is a new type of medication that can help or if there is something WRONG WITH ME but I really want to try something. Thanks
###Demographics### Age: Between 25 - 30 Gender: Female ###Full Active Problem List###: Vaginitis - Vocal cord strain - PID (acute pelvic inflammatory disease) - Generalized anxiety disorder - Laryngopharyngeal reflux (LPR) - Change in voice - Bladder pain - Eating disorder - Psychiatric disorder - Irritable bowel syndrome with diarrhea - Memory loss - Excessive anger - OAB (overactive bladder) - Bipolar disorder - Migraine without status migrainosus, not intractable - Mixed incontinence - Dysuria - IIH (idiopathic intracranial hypertension) - Elevated TSH - Cigarette nicotine dependence with nicotine-induced disorder ###Recent Encounters (Max 10)### Diagnoses (Past Year): Breast mass in female - Palpitation - IC (interstitial cystitis) - Post-traumatic stress disorder, chronic - Depression, major, recurrent, in remission - Memory change Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -LEVOCETIRIZINE 5 MG TABLET -PRAZOSIN 1 MG CAPSULE -OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE -LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE -FUROSEMIDE 20 MG TABLET -LEVONORGESTREL 20 MCG/24 HOURS (7 YRS) 52 MG INTRAUTERINE DEVICE -SERTRALINE 25 MG TABLET -VIBEGRON 75 MG TABLET -GABAPENTIN 400 MG CAPSULE
Patient #1
Dr. K, I know a lot of people around here have the flu right now but thankfully I've avoided it. However, I have seem to have caught a really nasty cough. Sometimes if I take a breath that is too deep itll make me cough uncontrollably for almost ten minutes straight and I'll be gasping for breath. It's kind of scary honestly. Mucus does come up sometimes when I cough and my nose is stopped up a little, but this cough is the worst I've ever had and I want to know if I should get it checked out. Thanks
###Demographics### Age: Between 50 - 55 Gender: Male ###Full Active Problem List###: Gout - Esophageal reflux - Fatty liver - Bursitis of left knee - Apnea, sleep - Obesity - Bipolar affective disorder - Fatigue - Injury of hand, right - Sleep disturbance - Chest pain - Anxiety - Arm paresthesia, right - Tremor - Vertigo - Biceps tendon rupture, right, sequela - Hypothyroidism - Allergic reaction to shellfish ###Recent Encounters (Max 10)### Diagnoses (Past Year): Insomnia, unspecified type - Radiculopathy of lumbar region - Gastroesophageal reflux disease - Bipolar affective disorder, remission status unspecified - L4-L5 disc bulge - Long-term current use of benzodiazepine - Chronic bilateral low back pain with bilateral sciatica - Limb tremor - Hypothyroidism, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE -LEVOTHYROXINE 100 MCG TABLET -HYDROXYZINE HCL 25 MG TABLET -CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET -PRAZOSIN 2 MG CAPSULE -LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE -CLONAZEPAM 0.5 MG TABLET Recently Ended Within 30-Days of Message: -QUETIAPINE 50 MG TABLET
Dr, Quick question -> My period was due 5 days ago and it hasn't come yet. I haven't had any other symptoms and I am definitely not pregnant Is there anything else I should be worried about?
###Demographics### Age: Between 35 - 40 Gender: Female ###Full Active Problem List###: Pseudotumor cerebri - Multigravida of advanced maternal age in third trimester - Astigmatism of both eyes - Adjustment disorder with depressed mood - Subjective vision disturbance - Class 1 obesity in adult - History of insulin controlled gestational diabetes mellitus - Glaucoma high risk - Pedal edema ###Recent Encounters (Max 10)### Diagnoses (Past Year): Class 1 obesity with body mass index (BMI) of 34.0 to 34.9 in adult, unspecified obesity type, unspecified whether serious comorbidity present - Post partum depression - Gestational diabetes mellitus (GDM) in third trimester, gestational diabetes method of control unspecified - Multigravida of advanced maternal age in second trimester - Diet controlled gestational diabetes mellitus (GDM) in third trimester - Astigmatism of both eyes, unspecified type - Elevated glucose tolerance test - Frank breech presentation, single or unspecified fetus Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -VALACYCLOVIR 500 MG TABLET -SERTRALINE 50 MG TABLET Recently Ended Within 30-Days of Message: -IBUPROFEN 800 MG TABLET -MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET -POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET -RIBOFLAVIN (VITAMIN B2) 100 MG TABLET
Patient #1
Dr. K, I know a lot of people around here have the flu right now but thankfully I've avoided it. However, I have seem to have caught a really nasty cough. Sometimes if I take a breath that is too deep itll make me cough uncontrollably for almost ten minutes straight and I'll be gasping for breath. It's kind of scary honestly. Mucus does come up sometimes when I cough and my nose is stopped up a little, but this cough is the worst I've ever had and I want to know if I should get it checked out. Thanks
###Demographics### Age: Between 50 - 55 Gender: Male ###Full Active Problem List###: Gout - Esophageal reflux - Fatty liver - Bursitis of left knee - Apnea, sleep - Obesity - Bipolar affective disorder - Fatigue - Injury of hand, right - Sleep disturbance - Chest pain - Anxiety - Arm paresthesia, right - Tremor - Vertigo - Biceps tendon rupture, right, sequela - Hypothyroidism - Allergic reaction to shellfish ###Recent Encounters (Max 10)### Diagnoses (Past Year): Insomnia, unspecified type - Radiculopathy of lumbar region - Gastroesophageal reflux disease - Bipolar affective disorder, remission status unspecified - L4-L5 disc bulge - Long-term current use of benzodiazepine - Chronic bilateral low back pain with bilateral sciatica - Limb tremor - Hypothyroidism, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE -LEVOTHYROXINE 100 MCG TABLET -HYDROXYZINE HCL 25 MG TABLET -CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET -PRAZOSIN 2 MG CAPSULE -LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE -CLONAZEPAM 0.5 MG TABLET Recently Ended Within 30-Days of Message: -QUETIAPINE 50 MG TABLET
Hi Doctor, So I am having some unexpected bleeding I need to chat with you about. I had sex with my girlfriend last night and I'm not sure if this is normal but I was just wondering if I should go to the doctor because I'm bleeding like I have my period. It doesn't seem heavy but it started right after we finished having sex. Is this cause for concern? Also, I need to update my physical address in the system. Can I do this over the portal? Thanks.
###Demographics### Age: Between 30 - 35 Gender: Female ###Full Active Problem List###: Health care maintenance - Subclinical hypothyroidism - Acanthosis nigricans - BMI 38.0-38.9,adult - Left knee pain - Mixed hyperlipidemia - Infertility management - Rh negative, antepartum - Prenatal care ###Recent Encounters (Max 10)### Diagnoses (Past Year): Prenatal care in second trimester - History of infertility - History of miscarriage - Pregnancy of unknown anatomic location - Male factor infertility - Pregnancy, unspecified gestational age - Prenatal care in first trimester - BMI 40.0-44.9, adult Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): *No Active Medications*
Patient #1
Dr. K, I know a lot of people around here have the flu right now but thankfully I've avoided it. However, I have seem to have caught a really nasty cough. Sometimes if I take a breath that is too deep itll make me cough uncontrollably for almost ten minutes straight and I'll be gasping for breath. It's kind of scary honestly. Mucus does come up sometimes when I cough and my nose is stopped up a little, but this cough is the worst I've ever had and I want to know if I should get it checked out. Thanks
###Demographics### Age: Between 50 - 55 Gender: Male ###Full Active Problem List###: Gout - Esophageal reflux - Fatty liver - Bursitis of left knee - Apnea, sleep - Obesity - Bipolar affective disorder - Fatigue - Injury of hand, right - Sleep disturbance - Chest pain - Anxiety - Arm paresthesia, right - Tremor - Vertigo - Biceps tendon rupture, right, sequela - Hypothyroidism - Allergic reaction to shellfish ###Recent Encounters (Max 10)### Diagnoses (Past Year): Insomnia, unspecified type - Radiculopathy of lumbar region - Gastroesophageal reflux disease - Bipolar affective disorder, remission status unspecified - L4-L5 disc bulge - Long-term current use of benzodiazepine - Chronic bilateral low back pain with bilateral sciatica - Limb tremor - Hypothyroidism, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE -LEVOTHYROXINE 100 MCG TABLET -HYDROXYZINE HCL 25 MG TABLET -CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET -PRAZOSIN 2 MG CAPSULE -LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE -CLONAZEPAM 0.5 MG TABLET Recently Ended Within 30-Days of Message: -QUETIAPINE 50 MG TABLET
Weird thing happening to me. I get these sudden hot flashes like, my body gets super sweaty and my heart starts racing. I have NEVER had this happen before and its really freaking me out. The first time it happened I thought "Do I have a fever?" but nope, no fever. ANd they dont stay too long and I get very cold after. The last time it happened I tried to take some tylenol right away but that did not seem to set-in in time. Anyway, would really like to come in this week. Please let me know your availability as I cannot continue to live like this.
###Demographics### Age: Between 45 - 50 Gender: Female ###Full Active Problem List###: History of colitis - Iron deficiency anemia - Chronic ulcerative proctitis - Tachycardia - Diarrhea - Type 2 diabetes mellitus without complication - SOB (shortness of breath) - DUB (dysfunctional uterine bleeding) - Depression - Cystic acne - Diabetes mellitus - Obesity - Sepsis - Migraine headache - Hyperlipidemia - History of gastric bypass - Sarcoidosis - Peptic ulcer - Insomnia - Gastroesophageal reflux disease - Moderate major depression - Dyspepsia - Crohn's disease - Anemia - Cough ###Recent Encounters (Max 10)### Diagnoses (Past Year): Gastroesophageal reflux disease, unspecified whether esophagitis present - Mild anemia - Hyperlipidemia, unspecified hyperlipidemia type - Insomnia, unspecified type - Depression, unspecified depression type - Right-sided chest wall pain - Mixed hyperlipidemia Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -PREDNISONE 20 MG TABLET -CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET -AMITRIPTYLINE 75 MG TABLET -FLUOXETINE 40 MG CAPSULE -AMITRIPTYLINE 50 MG TABLET -FERROUS SULFATE 325 MG (65 MG IRON) TABLET -FREESTYLE LIBRE 2 SENSOR KIT -AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET -OZEMPIC 1 MG/DOSE (4 MG/3 ML) SUBCUTANEOUS PEN INJECTOR -PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE
Patient #1
Dr. K, I know a lot of people around here have the flu right now but thankfully I've avoided it. However, I have seem to have caught a really nasty cough. Sometimes if I take a breath that is too deep itll make me cough uncontrollably for almost ten minutes straight and I'll be gasping for breath. It's kind of scary honestly. Mucus does come up sometimes when I cough and my nose is stopped up a little, but this cough is the worst I've ever had and I want to know if I should get it checked out. Thanks
###Demographics### Age: Between 50 - 55 Gender: Male ###Full Active Problem List###: Gout - Esophageal reflux - Fatty liver - Bursitis of left knee - Apnea, sleep - Obesity - Bipolar affective disorder - Fatigue - Injury of hand, right - Sleep disturbance - Chest pain - Anxiety - Arm paresthesia, right - Tremor - Vertigo - Biceps tendon rupture, right, sequela - Hypothyroidism - Allergic reaction to shellfish ###Recent Encounters (Max 10)### Diagnoses (Past Year): Insomnia, unspecified type - Radiculopathy of lumbar region - Gastroesophageal reflux disease - Bipolar affective disorder, remission status unspecified - L4-L5 disc bulge - Long-term current use of benzodiazepine - Chronic bilateral low back pain with bilateral sciatica - Limb tremor - Hypothyroidism, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE -LEVOTHYROXINE 100 MCG TABLET -HYDROXYZINE HCL 25 MG TABLET -CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET -PRAZOSIN 2 MG CAPSULE -LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE -CLONAZEPAM 0.5 MG TABLET Recently Ended Within 30-Days of Message: -QUETIAPINE 50 MG TABLET
I got my period on Sunday morning. It was heavy at first and now it's lighter but there is a big chunk of blood in it. Is this something to be worried about?? I have never seen this before. I took a picture if interested. If it means anything I did have sex on Thursday.
###Demographics### Age: Between 35 - 40 Gender: Female ###Full Active Problem List###: Fibromyalgia - Vitamin D deficiency - Bilateral carpal tunnel syndrome - Nicotine dependence ###Recent Encounters (Max 10)### Diagnoses (Past Year): Strain of calf muscle, left, initial encounter - Traumatic hematoma of forehead, initial encounter - Traumatic injury of head, initial encounter - Gastrocnemius strain, left, subsequent encounter - Anemia, unspecified type Diagnoses (Older): Breast pain - Weight loss - Breast lump on right side at 10 o'clock position - Chest pain, unspecified type ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM -KETOCONAZOLE 2 % SHAMPOO
Patient #1
Dr. K, I know a lot of people around here have the flu right now but thankfully I've avoided it. However, I have seem to have caught a really nasty cough. Sometimes if I take a breath that is too deep itll make me cough uncontrollably for almost ten minutes straight and I'll be gasping for breath. It's kind of scary honestly. Mucus does come up sometimes when I cough and my nose is stopped up a little, but this cough is the worst I've ever had and I want to know if I should get it checked out. Thanks
###Demographics### Age: Between 50 - 55 Gender: Male ###Full Active Problem List###: Gout - Esophageal reflux - Fatty liver - Bursitis of left knee - Apnea, sleep - Obesity - Bipolar affective disorder - Fatigue - Injury of hand, right - Sleep disturbance - Chest pain - Anxiety - Arm paresthesia, right - Tremor - Vertigo - Biceps tendon rupture, right, sequela - Hypothyroidism - Allergic reaction to shellfish ###Recent Encounters (Max 10)### Diagnoses (Past Year): Insomnia, unspecified type - Radiculopathy of lumbar region - Gastroesophageal reflux disease - Bipolar affective disorder, remission status unspecified - L4-L5 disc bulge - Long-term current use of benzodiazepine - Chronic bilateral low back pain with bilateral sciatica - Limb tremor - Hypothyroidism, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE -LEVOTHYROXINE 100 MCG TABLET -HYDROXYZINE HCL 25 MG TABLET -CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET -PRAZOSIN 2 MG CAPSULE -LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE -CLONAZEPAM 0.5 MG TABLET Recently Ended Within 30-Days of Message: -QUETIAPINE 50 MG TABLET
Hi Doctor, Reaching out about a mensrual issue I am having. So I have never had my blood clot before but now I'm noticing some clotting during my regular periods. This has happened twice in a row. The color seems normal and the smell is the same. Is this normal?
###Demographics### Age: Between 30 - 35 Gender: Female ###Full Active Problem List###: Tonsillar hypertrophy - Irritable bowel syndrome - Constipation - Postnasal drip - Anxiety - Depression - Migraine headache - Chronic urticaria - Severe dysplasia of cervix (CIN III) - Patellofemoral syndrome ###Recent Encounters (Max 10)### Diagnoses (Past Year): Nodule of neck - Situational anxiety - Acute URI Diagnoses (Older): Loss of consciousness - Change in color of pigmented skin lesion - Depression, unspecified depression type ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -HYDROXYZINE HCL 25 MG TABLET -DIAZEPAM 2 MG TABLET
Patient #1
Doctor, I hope all is well with you and your family. I am messaging you as I took my temperature after feeilng a bit warm and coughing a bit this morning and found it to be 100.9. I thought you should know this. I think I am okay but I am home alone this weekend so I needed to make sure you knew. Thank you.
###Demographics### Age: Between 75 - 80 Gender: Female ###Full Active Problem List###: DDD (degenerative disc disease), lumbosacral - Bladder tumor - Closed die-punch intra-articular fracture of distal end of right radius - Essential hypertension - Spinal stenosis, lumbar region, without neurogenic claudication - Takotsubo cardiomyopathy - DJD (degenerative joint disease) of hip - Wrist fracture, closed, right, initial encounter - Distal radius fracture, left - Sacroiliac joint dysfunction of both sides - Radiculopathy of lumbar region - Bladder cancer - Unspecified abnormal findings in urine - Carpal tunnel syndrome on left - Adnexal mass - Osteopenia - Microhematuria - Healthcare maintenance - Arthritis of carpometacarpal (CMC) joint of left thumb - Arthritis of carpometacarpal (CMC) joint of right thumb ###Recent Encounters (Max 10)### Diagnoses (Past Year): On statin therapy due to risk of future cardiovascular event - Malignant neoplasm of urinary bladder, unspecified site - Hypertension, unspecified type - Unspecified abnormal finding in specimens from female genital organs - Pelvic mass in female - History of cardiomyopathy - Malignant neoplasm of lateral wall of urinary bladder Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR -ATORVASTATIN 10 MG TABLET -PREGABALIN 75 MG CAPSULE -CELECOXIB 200 MG CAPSULE -HYDROCHLOROTHIAZIDE 25 MG TABLET
Hi Doctor, I am reaching out about some chest and breathing discomfort i've been having the past month or so. The feeling is like a tightness in my upper chest which causes me to feel short of breath, and as a result, I feel the need to take very deep breaths, which will often temporarily help for maybe 20 seconds or so. In other words, my standard breathing doesn't feel like it's enough, and so I feel this discomfort. I honestly felt for a while like it was correlated with my anxiety spikes, but now I am not so sure. Figured this is something I should message you about.
###Demographics### Age: Between 45 - 50 Gender: Female ###Full Active Problem List###: Nausea - Erythema annulare centrifugum - Vitamin D deficiency - Morbid obesity with BMI of 50.0-59.9, adult - Hirsutism - Immunization not carried out because of patient decision - Incomplete right bundle branch block (RBBB) - Weight gain following gastric bypass surgery - GI bleed - Stress fracture of right tibia - OSA (obstructive sleep apnea) - Obesity - SVT (supraventricular tachycardia) - Left-sided low back pain without sciatica - Chronic diarrhea - Palpitations - Dyspareunia, female - Atopic dermatitis - Gastroesophageal reflux disease - Splenomegaly - Fibroid uterus ###Recent Encounters (Max 10)### Diagnoses (Past Year): Upper abdominal pain - Acute left-sided low back pain without sciatica - Earache on left - Status post bariatric surgery - Bilateral impacted cerumen - Acute UTI (urinary tract infection) - Atrial fibrillation, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR -NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE -TRAMADOL 50 MG TABLET -GABAPENTIN 300 MG CAPSULE -ONDANSETRON 4 MG DISINTEGRATING TABLET -METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR -NORTRIPTYLINE 25 MG CAPSULE -FLECAINIDE 100 MG TABLET -DULOXETINE 20 MG CAPSULE,DELAYED RELEASE -PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE Recently Ended Within 30-Days of Message: -FLECAINIDE 50 MG TABLET
Patient #2
Doctor, I hope all is well with you and your family. I am messaging you as I took my temperature after feeilng a bit warm and coughing a bit this morning and found it to be 100.9. I thought you should know this. I think I am okay but I am home alone this weekend so I needed to make sure you knew. Thank you.
###Demographics### Age: Between 75 - 80 Gender: Female ###Full Active Problem List###: DDD (degenerative disc disease), lumbosacral - Bladder tumor - Closed die-punch intra-articular fracture of distal end of right radius - Essential hypertension - Spinal stenosis, lumbar region, without neurogenic claudication - Takotsubo cardiomyopathy - DJD (degenerative joint disease) of hip - Wrist fracture, closed, right, initial encounter - Distal radius fracture, left - Sacroiliac joint dysfunction of both sides - Radiculopathy of lumbar region - Bladder cancer - Unspecified abnormal findings in urine - Carpal tunnel syndrome on left - Adnexal mass - Osteopenia - Microhematuria - Healthcare maintenance - Arthritis of carpometacarpal (CMC) joint of left thumb - Arthritis of carpometacarpal (CMC) joint of right thumb ###Recent Encounters (Max 10)### Diagnoses (Past Year): On statin therapy due to risk of future cardiovascular event - Malignant neoplasm of urinary bladder, unspecified site - Hypertension, unspecified type - Unspecified abnormal finding in specimens from female genital organs - Pelvic mass in female - History of cardiomyopathy - Malignant neoplasm of lateral wall of urinary bladder Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR -ATORVASTATIN 10 MG TABLET -PREGABALIN 75 MG CAPSULE -CELECOXIB 200 MG CAPSULE -HYDROCHLOROTHIAZIDE 25 MG TABLET
Doctor S, For the last few days i've experienced a shortness of breath along with runny nose and a bad cough. I am also wheezing a bit. I'm not sure if it will go away with some home remedies but I keep geting into a bad cough which leads me to lose my breath, then I have to sit and go to a cool room to cool off and catch my breath, practically gasping for breath until it calms and then I resume my normal activities. I know I am scheduled to come in next thursday but I am wondering if you could find time to see me today?
###Demographics### Age: Between 40 - 45 Gender: Female ###Full Active Problem List###: Fibromyalgia - ASCUS with positive high risk HPV cervical - Pain of right sacroiliac joint - Irritable bowel syndrome - Persistent depressive disorder with anxious distress, currently moderate - Obstructive sleep apnea syndrome - Anxiety - Pain in right hip - Chronic neck pain - Post-traumatic stress disorder, chronic - Dysmenorrhea - Intractable periodic headache syndrome - Weight loss - Congenital valgus deformity of knee ###Recent Encounters (Max 10)### Diagnoses (Past Year): Diarrhea, unspecified type - Chronic abdominal pain - LLQ abdominal pain - Chronic nausea - RLQ abdominal pain - Irritable bowel syndrome with diarrhea Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -SUMATRIPTAN 50 MG TABLET -LORAZEPAM 0.5 MG TABLET -ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM -TOPIRAMATE 25 MG TABLET -OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE -HYOSCYAMINE SULFATE 0.125 MG TABLET -NORTRIPTYLINE 10 MG CAPSULE -FLUOXETINE 20 MG CAPSULE -VALACYCLOVIR 1 GRAM TABLET -ETONOGESTREL 0.12 MG-ETHINYL ESTRADIOL 0.015 MG/24 HR VAGINAL RING
Patient #2
Doctor, I hope all is well with you and your family. I am messaging you as I took my temperature after feeilng a bit warm and coughing a bit this morning and found it to be 100.9. I thought you should know this. I think I am okay but I am home alone this weekend so I needed to make sure you knew. Thank you.
###Demographics### Age: Between 75 - 80 Gender: Female ###Full Active Problem List###: DDD (degenerative disc disease), lumbosacral - Bladder tumor - Closed die-punch intra-articular fracture of distal end of right radius - Essential hypertension - Spinal stenosis, lumbar region, without neurogenic claudication - Takotsubo cardiomyopathy - DJD (degenerative joint disease) of hip - Wrist fracture, closed, right, initial encounter - Distal radius fracture, left - Sacroiliac joint dysfunction of both sides - Radiculopathy of lumbar region - Bladder cancer - Unspecified abnormal findings in urine - Carpal tunnel syndrome on left - Adnexal mass - Osteopenia - Microhematuria - Healthcare maintenance - Arthritis of carpometacarpal (CMC) joint of left thumb - Arthritis of carpometacarpal (CMC) joint of right thumb ###Recent Encounters (Max 10)### Diagnoses (Past Year): On statin therapy due to risk of future cardiovascular event - Malignant neoplasm of urinary bladder, unspecified site - Hypertension, unspecified type - Unspecified abnormal finding in specimens from female genital organs - Pelvic mass in female - History of cardiomyopathy - Malignant neoplasm of lateral wall of urinary bladder Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR -ATORVASTATIN 10 MG TABLET -PREGABALIN 75 MG CAPSULE -CELECOXIB 200 MG CAPSULE -HYDROCHLOROTHIAZIDE 25 MG TABLET
Doctor S, So I have been getting over a cold, lots of sneezing going on. Today, I sneezed and felt a pop in my rib cage and sharp pain at the same time. It totally took my breath away and the spot feels very sore. Every sneeze since has been super painful and I think I'd like to come in and get this checked out.
###Demographics### Age: Between 60 - 65 Gender: Male ###Full Active Problem List###: Reactive arthritis - Dysplastic nevus - PAF (paroxysmal atrial fibrillation) - Post-traumatic osteoarthritis of right knee - TIA due to embolism - Psoriatic arthritis - APC (atrial premature contractions) - PFO (patent foramen ovale) - Sinus bradycardia - Acute pain - Floater, vitreous - Macrocytosis without anemia - Neurocardiogenic pre-syncope - HTN (hypertension) - Hyperlipidemia ###Recent Encounters (Max 10)### Diagnoses (Past Year): Hyperlipidemia, unspecified hyperlipidemia type - Hypertension, essential, benign - Hypertension, unspecified type - Reactive arthritis, unspecified site - Primary hypertension - Tachycardia Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR -AMLODIPINE 5 MG TABLET -OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE -APIXABAN 5 MG TABLET -CIMZIA 400 MG/2 ML (200 MG/ML X 2) SUBCUTANEOUS SYRINGE KIT
Patient #2
Doctor, I hope all is well with you and your family. I am messaging you as I took my temperature after feeilng a bit warm and coughing a bit this morning and found it to be 100.9. I thought you should know this. I think I am okay but I am home alone this weekend so I needed to make sure you knew. Thank you.
###Demographics### Age: Between 75 - 80 Gender: Female ###Full Active Problem List###: DDD (degenerative disc disease), lumbosacral - Bladder tumor - Closed die-punch intra-articular fracture of distal end of right radius - Essential hypertension - Spinal stenosis, lumbar region, without neurogenic claudication - Takotsubo cardiomyopathy - DJD (degenerative joint disease) of hip - Wrist fracture, closed, right, initial encounter - Distal radius fracture, left - Sacroiliac joint dysfunction of both sides - Radiculopathy of lumbar region - Bladder cancer - Unspecified abnormal findings in urine - Carpal tunnel syndrome on left - Adnexal mass - Osteopenia - Microhematuria - Healthcare maintenance - Arthritis of carpometacarpal (CMC) joint of left thumb - Arthritis of carpometacarpal (CMC) joint of right thumb ###Recent Encounters (Max 10)### Diagnoses (Past Year): On statin therapy due to risk of future cardiovascular event - Malignant neoplasm of urinary bladder, unspecified site - Hypertension, unspecified type - Unspecified abnormal finding in specimens from female genital organs - Pelvic mass in female - History of cardiomyopathy - Malignant neoplasm of lateral wall of urinary bladder Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR -ATORVASTATIN 10 MG TABLET -PREGABALIN 75 MG CAPSULE -CELECOXIB 200 MG CAPSULE -HYDROCHLOROTHIAZIDE 25 MG TABLET
Doctor, This week I started experiencing something a bit new for me. So in the middle of the night I find that my chest and back feel very sweaty. Sometimes damp, othertimes soaked. I don't think its because my room is too hot, as it's been at the normal temperature. This just happened all of the sudden to me this week and I wanted to ask about it.
###Demographics### Age: Between 45 - 50 Gender: Female ###Full Active Problem List###: Gestational diabetes - Fatigue - Anxiety disorder - Adjustment reaction - Myalgia - Chlamydia trachomatis infection of genital structure - Thoracic or lumbosacral neuritis or radiculitis - Depressive disorder - Breast disorder ###Recent Encounters (Max 10)### Diagnoses (Past Year): Menorrhagia with regular cycle - Vaginal bleeding problems - Adenomyosis - Anemia due to chronic blood loss - Closed nondisplaced pilon fracture of left tibia with routine healing, subsequent encounter - Arthritis of left knee - Elevated blood pressure reading without diagnosis of hypertension - Acute left ankle pain - Closed displaced pilon fracture of left tibia with routine healing, subsequent encounter Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -NORETHINDRONE ACETATE 5 MG TABLET -FERROUS SULFATE 325 MG (65 MG IRON) TABLET,DELAYED RELEASE -NORETHINDRONE (CONTRACEPTIVE) 0.35 MG TABLET Recently Ended Within 30-Days of Message: -TRANEXAMIC ACID 650 MG TABLET
Patient #1
Doctor, I hope all is well with you and your family. I am messaging you as I took my temperature after feeilng a bit warm and coughing a bit this morning and found it to be 100.9. I thought you should know this. I think I am okay but I am home alone this weekend so I needed to make sure you knew. Thank you.
###Demographics### Age: Between 75 - 80 Gender: Female ###Full Active Problem List###: DDD (degenerative disc disease), lumbosacral - Bladder tumor - Closed die-punch intra-articular fracture of distal end of right radius - Essential hypertension - Spinal stenosis, lumbar region, without neurogenic claudication - Takotsubo cardiomyopathy - DJD (degenerative joint disease) of hip - Wrist fracture, closed, right, initial encounter - Distal radius fracture, left - Sacroiliac joint dysfunction of both sides - Radiculopathy of lumbar region - Bladder cancer - Unspecified abnormal findings in urine - Carpal tunnel syndrome on left - Adnexal mass - Osteopenia - Microhematuria - Healthcare maintenance - Arthritis of carpometacarpal (CMC) joint of left thumb - Arthritis of carpometacarpal (CMC) joint of right thumb ###Recent Encounters (Max 10)### Diagnoses (Past Year): On statin therapy due to risk of future cardiovascular event - Malignant neoplasm of urinary bladder, unspecified site - Hypertension, unspecified type - Unspecified abnormal finding in specimens from female genital organs - Pelvic mass in female - History of cardiomyopathy - Malignant neoplasm of lateral wall of urinary bladder Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR -ATORVASTATIN 10 MG TABLET -PREGABALIN 75 MG CAPSULE -CELECOXIB 200 MG CAPSULE -HYDROCHLOROTHIAZIDE 25 MG TABLET
Hi Doc, I thought I just had the flu but my fever has gone up to 103 and has gone as low as 97 over the past couple of days. From a quick google this seems very off. I am messaging you as I am afraid to go to urgent care due to my insurance. But yeah, anytime my fever gets super high I can alleviate it with tylenol. I have most other basic flu symptoms. But I felt like 103 was really high. Yet, it does go away with meds, so do I just need to ride this out? i hoep so...
###Demographics### Age: Between 45 - 50 Gender: Male ###Full Active Problem List###: Heartburn - Daytime somnolence - Low back pain - Prostate disorder - Snoring - Gastroesophageal reflux disease with esophagitis - Insomnia - Migraine without aura and without status migrainosus, not intractable - Observed sleep apnea - Forgetfulness - Neck pain - Anxiety - Unable to concentrate - Cherry angioma - Depression with anxiety - Seasonal allergies ###Recent Encounters (Max 10)### Diagnoses (Past Year): Chest pain, unspecified type Diagnoses (Older): Insomnia, unspecified type - Epigastric pain - Seborrheic keratoses, inflamed - Diminished night vision ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): *No Active Medications*
Patient #1
Doctor, I hope all is well with you and your family. I am messaging you as I took my temperature after feeilng a bit warm and coughing a bit this morning and found it to be 100.9. I thought you should know this. I think I am okay but I am home alone this weekend so I needed to make sure you knew. Thank you.
###Demographics### Age: Between 75 - 80 Gender: Female ###Full Active Problem List###: DDD (degenerative disc disease), lumbosacral - Bladder tumor - Closed die-punch intra-articular fracture of distal end of right radius - Essential hypertension - Spinal stenosis, lumbar region, without neurogenic claudication - Takotsubo cardiomyopathy - DJD (degenerative joint disease) of hip - Wrist fracture, closed, right, initial encounter - Distal radius fracture, left - Sacroiliac joint dysfunction of both sides - Radiculopathy of lumbar region - Bladder cancer - Unspecified abnormal findings in urine - Carpal tunnel syndrome on left - Adnexal mass - Osteopenia - Microhematuria - Healthcare maintenance - Arthritis of carpometacarpal (CMC) joint of left thumb - Arthritis of carpometacarpal (CMC) joint of right thumb ###Recent Encounters (Max 10)### Diagnoses (Past Year): On statin therapy due to risk of future cardiovascular event - Malignant neoplasm of urinary bladder, unspecified site - Hypertension, unspecified type - Unspecified abnormal finding in specimens from female genital organs - Pelvic mass in female - History of cardiomyopathy - Malignant neoplasm of lateral wall of urinary bladder Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR -ATORVASTATIN 10 MG TABLET -PREGABALIN 75 MG CAPSULE -CELECOXIB 200 MG CAPSULE -HYDROCHLOROTHIAZIDE 25 MG TABLET
Dr. J, I developed a fever last night, accompanied by frequent diarrhea, as well as a mild headache. Advil has been effective at managing the fever but nothing I seem to do helps my stomach problems. What should I do??
###Demographics### Age: Between 30 - 35 Gender: Female ###Full Active Problem List###: Menorrhagia with regular cycle - Pre-conception counseling - IUD (intrauterine device) in place - Vulvar cyst - Asthma, exercise induced - Labor without complication - Pain in right wrist - Grief reaction - Mild intermittent asthma, uncomplicated ###Recent Encounters (Max 10)### Diagnoses (Past Year): Allergic rhinitis, unspecified seasonality, unspecified trigger - Hypertrophy of nasal turbinates - Acne vulgaris - Breast lump on left side at 8 o'clock position - Encounter for cosmetic procedure - Delayed sleep phase syndrome - Nasal obstruction - Deviated nasal septum - DH ERRONEOUS ENCOUNTER Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM -TRETINOIN 0.025 % TOPICAL CREAM -AZELASTINE 137 MCG (0.1 %) NASAL SPRAY AEROSOL -INHALATIONAL SPACING DEVICE -FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION
Patient #2
Doctor, I hope all is well with you and your family. I am messaging you as I took my temperature after feeilng a bit warm and coughing a bit this morning and found it to be 100.9. I thought you should know this. I think I am okay but I am home alone this weekend so I needed to make sure you knew. Thank you.
###Demographics### Age: Between 75 - 80 Gender: Female ###Full Active Problem List###: DDD (degenerative disc disease), lumbosacral - Bladder tumor - Closed die-punch intra-articular fracture of distal end of right radius - Essential hypertension - Spinal stenosis, lumbar region, without neurogenic claudication - Takotsubo cardiomyopathy - DJD (degenerative joint disease) of hip - Wrist fracture, closed, right, initial encounter - Distal radius fracture, left - Sacroiliac joint dysfunction of both sides - Radiculopathy of lumbar region - Bladder cancer - Unspecified abnormal findings in urine - Carpal tunnel syndrome on left - Adnexal mass - Osteopenia - Microhematuria - Healthcare maintenance - Arthritis of carpometacarpal (CMC) joint of left thumb - Arthritis of carpometacarpal (CMC) joint of right thumb ###Recent Encounters (Max 10)### Diagnoses (Past Year): On statin therapy due to risk of future cardiovascular event - Malignant neoplasm of urinary bladder, unspecified site - Hypertension, unspecified type - Unspecified abnormal finding in specimens from female genital organs - Pelvic mass in female - History of cardiomyopathy - Malignant neoplasm of lateral wall of urinary bladder Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR -ATORVASTATIN 10 MG TABLET -PREGABALIN 75 MG CAPSULE -CELECOXIB 200 MG CAPSULE -HYDROCHLOROTHIAZIDE 25 MG TABLET
Hi, this is MG writing on behalf of JG. JG has has a low grade fever since 2 days ago. No other major symptoms, just a low-grade fever(99.9 - 101.0). JG has been cold and tired but thats about it for other symptoms. I am just worried about him and wonder if he should come see you.
###Demographics### Age: Between 70 - 75 Gender: Male ###Full Active Problem List###: Elevated fasting glucose - Abnormal PFT - Dizziness - Partial small bowel obstruction - Prostate cancer - Allergy to insect stings - Essential hypertension - Prediabetes - Neck pain, bilateral - Breast mass - Elevated PSA - Post-splenectomy - NSTEMI (non-ST elevated myocardial infarction) ###Recent Encounters (Max 10)### Diagnoses (Past Year): Imbalance - Nonrheumatic aortic valve insufficiency - Primary open angle glaucoma (POAG) of both eyes, mild stage - Hodgkin lymphoma, unspecified Hodgkin lymphoma type, unspecified body region - Rectal bleeding - Radiation fibrosis of lung - Chronic obstructive pulmonary disease, unspecified COPD type - Bronchiectasis without complication - Restrictive lung disease - Hypothyroidism, unspecified type Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -BETAXOLOL 0.5 % EYE DROPS -MECLIZINE 25 MG TABLET -SPIRIVA RESPIMAT 2.5 MCG/ACTUATION SOLUTION FOR INHALATION -BENZONATATE 100 MG CAPSULE -EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR -APIXABAN 5 MG TABLET -HYDROCORTISONE 2.5 % TOPICAL CREAM -ATORVASTATIN 80 MG TABLET -LEVOTHYROXINE 125 MCG TABLET -LOSARTAN 100 MG TABLET Recently Ended Within 30-Days of Message: -LACTOBACILLUS RHAMNOSUS GG 10 BILLION CELL CAPSULE
Patient #2
Doctor, I hope all is well with you and your family. I am messaging you as I took my temperature after feeilng a bit warm and coughing a bit this morning and found it to be 100.9. I thought you should know this. I think I am okay but I am home alone this weekend so I needed to make sure you knew. Thank you.
###Demographics### Age: Between 75 - 80 Gender: Female ###Full Active Problem List###: DDD (degenerative disc disease), lumbosacral - Bladder tumor - Closed die-punch intra-articular fracture of distal end of right radius - Essential hypertension - Spinal stenosis, lumbar region, without neurogenic claudication - Takotsubo cardiomyopathy - DJD (degenerative joint disease) of hip - Wrist fracture, closed, right, initial encounter - Distal radius fracture, left - Sacroiliac joint dysfunction of both sides - Radiculopathy of lumbar region - Bladder cancer - Unspecified abnormal findings in urine - Carpal tunnel syndrome on left - Adnexal mass - Osteopenia - Microhematuria - Healthcare maintenance - Arthritis of carpometacarpal (CMC) joint of left thumb - Arthritis of carpometacarpal (CMC) joint of right thumb ###Recent Encounters (Max 10)### Diagnoses (Past Year): On statin therapy due to risk of future cardiovascular event - Malignant neoplasm of urinary bladder, unspecified site - Hypertension, unspecified type - Unspecified abnormal finding in specimens from female genital organs - Pelvic mass in female - History of cardiomyopathy - Malignant neoplasm of lateral wall of urinary bladder Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR -ATORVASTATIN 10 MG TABLET -PREGABALIN 75 MG CAPSULE -CELECOXIB 200 MG CAPSULE -HYDROCHLOROTHIAZIDE 25 MG TABLET
Hey Doc, Since last night, I have had this low-grade fever (101.4), extremely sore throat, cough, and loss of voice. Can you write me something for an antibiotic? I must have strep. I just know it.
###Demographics### Age: Between 45 - 50 Gender: Female ###Full Active Problem List###: Acquired absence of part of stomach - Chronic abdominal pain - Hypercholesterolemia - Steatosis of liver - Status post bariatric surgery - Miscarriage - Ventral hernia without obstruction or gangrene - Hx of gastric bypass - Gastroesophageal reflux disease - Infertility of tubal origin - Vitamin D deficiency - Postoperative hypothyroidism - Asthma - Frequent unifocal PVCs - Hypothyroidism - Vasovagal episode - Encounter for preconception consultation ###Recent Encounters (Max 10)### Diagnoses (Past Year): Disorder of iron metabolism - Vitamin B12 deficiency - S/P bariatric surgery - Pelvic pain in female - Iron deficiency anemia, unspecified iron deficiency anemia type - Microhematuria - Fever, unspecified fever cause - Other intestinal malabsorption Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -FAMOTIDINE 40 MG TABLET -OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR -FREESTYLE LIBRE 2 READER -FREESTYLE LIBRE 2 SENSOR KIT -PHENAZOPYRIDINE 200 MG TABLET -GLUCAGON 3 MG/ACTUATION NASAL SPRAY -METOCLOPRAMIDE 10 MG TABLET -IBUPROFEN 600 MG TABLET
Patient #1
Doctor, I hope all is well with you and your family. I am messaging you as I took my temperature after feeilng a bit warm and coughing a bit this morning and found it to be 100.9. I thought you should know this. I think I am okay but I am home alone this weekend so I needed to make sure you knew. Thank you.
###Demographics### Age: Between 75 - 80 Gender: Female ###Full Active Problem List###: DDD (degenerative disc disease), lumbosacral - Bladder tumor - Closed die-punch intra-articular fracture of distal end of right radius - Essential hypertension - Spinal stenosis, lumbar region, without neurogenic claudication - Takotsubo cardiomyopathy - DJD (degenerative joint disease) of hip - Wrist fracture, closed, right, initial encounter - Distal radius fracture, left - Sacroiliac joint dysfunction of both sides - Radiculopathy of lumbar region - Bladder cancer - Unspecified abnormal findings in urine - Carpal tunnel syndrome on left - Adnexal mass - Osteopenia - Microhematuria - Healthcare maintenance - Arthritis of carpometacarpal (CMC) joint of left thumb - Arthritis of carpometacarpal (CMC) joint of right thumb ###Recent Encounters (Max 10)### Diagnoses (Past Year): On statin therapy due to risk of future cardiovascular event - Malignant neoplasm of urinary bladder, unspecified site - Hypertension, unspecified type - Unspecified abnormal finding in specimens from female genital organs - Pelvic mass in female - History of cardiomyopathy - Malignant neoplasm of lateral wall of urinary bladder Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR -ATORVASTATIN 10 MG TABLET -PREGABALIN 75 MG CAPSULE -CELECOXIB 200 MG CAPSULE -HYDROCHLOROTHIAZIDE 25 MG TABLET
I just had my first period after giving birth and I've been having pretty heavy bleeding for 4 days now. I am soaking through many more pads per day than normal. I feel like everytime I go to the bathroom there is just so much blood and I dont know what to do. My flow has not slowed down at all. is this normal??
###Demographics### Age: Between 35 - 40 Gender: Female ###Full Active Problem List###: Left tubal pregnancy without intrauterine pregnancy ###Recent Encounters (Max 10)### Diagnoses (Past Year): Reactive depression (situational) Diagnoses (Older): Multiple benign nevi - IUD (intrauterine device) in place - Onychocryptosis - Intrauterine contraceptive device threads lost, initial encounter - Cherry angioma - Abnormal ultrasound - Encounter for postpartum care of lactating mother ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE -FLUOXETINE 20 MG CAPSULE -LEVONORGESTREL 0.15 MG-ETHINYL ESTRADIOL 30 MCG TABLETS,3 MOS PACK(91)
Patient #2
Doctor, I hope all is well with you and your family. I am messaging you as I took my temperature after feeilng a bit warm and coughing a bit this morning and found it to be 100.9. I thought you should know this. I think I am okay but I am home alone this weekend so I needed to make sure you knew. Thank you.
###Demographics### Age: Between 75 - 80 Gender: Female ###Full Active Problem List###: DDD (degenerative disc disease), lumbosacral - Bladder tumor - Closed die-punch intra-articular fracture of distal end of right radius - Essential hypertension - Spinal stenosis, lumbar region, without neurogenic claudication - Takotsubo cardiomyopathy - DJD (degenerative joint disease) of hip - Wrist fracture, closed, right, initial encounter - Distal radius fracture, left - Sacroiliac joint dysfunction of both sides - Radiculopathy of lumbar region - Bladder cancer - Unspecified abnormal findings in urine - Carpal tunnel syndrome on left - Adnexal mass - Osteopenia - Microhematuria - Healthcare maintenance - Arthritis of carpometacarpal (CMC) joint of left thumb - Arthritis of carpometacarpal (CMC) joint of right thumb ###Recent Encounters (Max 10)### Diagnoses (Past Year): On statin therapy due to risk of future cardiovascular event - Malignant neoplasm of urinary bladder, unspecified site - Hypertension, unspecified type - Unspecified abnormal finding in specimens from female genital organs - Pelvic mass in female - History of cardiomyopathy - Malignant neoplasm of lateral wall of urinary bladder Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR -ATORVASTATIN 10 MG TABLET -PREGABALIN 75 MG CAPSULE -CELECOXIB 200 MG CAPSULE -HYDROCHLOROTHIAZIDE 25 MG TABLET
Hi, I am scared. I have been bleeding very heavily (like soaking through 1 maxi pad per 30 minutes consistently)! I don't know if this is normal or if I should seek immediate medical attention or if it could be a cyst bursting? I have also been cramping TERRIBLY. Please let me know what next steps should be. I tried calling and didn't hear back and I live sort of far from an urgent care.
###Demographics### Age: Between 25 - 30 Gender: Female ###Full Active Problem List###: Attention deficit hyperactivity disorder (ADHD) - Migraines - Hyperopia, bilateral - Iron deficiency anemia - Trigeminal neuralgia - Anxiety - Severe episode of recurrent major depressive disorder - Post-traumatic stress disorder, chronic - Asthma - History of substance abuse ###Recent Encounters (Max 10)### Diagnoses (Past Year): Asthma, unspecified asthma severity, unspecified whether complicated, unspecified whether persistent - Excessive bleeding in premenopausal period - Asymptomatic microscopic hematuria - Dysuria - Mastalgia - Menorrhagia with irregular cycle - Iron deficiency anemia due to chronic blood loss - Mild intermittent asthma with acute exacerbation - Easy bruising - Abnormal uterine bleeding (AUB) Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -MONTELUKAST 10 MG TABLET -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN -FERROUS SULFATE 325 MG (65 MG IRON) TABLET -EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR -FLOVENT HFA 220 MCG/ACTUATION AEROSOL INHALER
Patient #1
Doctor, I hope all is well with you and your family. I am messaging you as I took my temperature after feeilng a bit warm and coughing a bit this morning and found it to be 100.9. I thought you should know this. I think I am okay but I am home alone this weekend so I needed to make sure you knew. Thank you.
###Demographics### Age: Between 75 - 80 Gender: Female ###Full Active Problem List###: DDD (degenerative disc disease), lumbosacral - Bladder tumor - Closed die-punch intra-articular fracture of distal end of right radius - Essential hypertension - Spinal stenosis, lumbar region, without neurogenic claudication - Takotsubo cardiomyopathy - DJD (degenerative joint disease) of hip - Wrist fracture, closed, right, initial encounter - Distal radius fracture, left - Sacroiliac joint dysfunction of both sides - Radiculopathy of lumbar region - Bladder cancer - Unspecified abnormal findings in urine - Carpal tunnel syndrome on left - Adnexal mass - Osteopenia - Microhematuria - Healthcare maintenance - Arthritis of carpometacarpal (CMC) joint of left thumb - Arthritis of carpometacarpal (CMC) joint of right thumb ###Recent Encounters (Max 10)### Diagnoses (Past Year): On statin therapy due to risk of future cardiovascular event - Malignant neoplasm of urinary bladder, unspecified site - Hypertension, unspecified type - Unspecified abnormal finding in specimens from female genital organs - Pelvic mass in female - History of cardiomyopathy - Malignant neoplasm of lateral wall of urinary bladder Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR -ATORVASTATIN 10 MG TABLET -PREGABALIN 75 MG CAPSULE -CELECOXIB 200 MG CAPSULE -HYDROCHLOROTHIAZIDE 25 MG TABLET
Hi Doctor M, I have been delyaing sending this message but recently my periods have gotten much more painful. I have a pretty high pain tolerance, but my cramps will have me in tears. This feels abnormal + the blood is very thick and dark. I'd really like to come in and chat about this in person. Please let me know your availability. Also, my phone is currently not working so please message me here if possible.
###Demographics### Age: Between 25 - 30 Gender: Female ###Full Active Problem List###: Flu vaccine need - Need for hepatitis A vaccination - Eczema - Mixed anxiety and depressive disorder - Immunization, tetanus toxoid - Encounter for screening for HIV ###Recent Encounters (Max 10)### Diagnoses (Past Year): Heavy alcohol use - Adjustment reaction with anxiety and depression - Class 3 severe obesity with body mass index (BMI) of 45.0 to 49.9 in adult, unspecified obesity type, unspecified whether serious comorbidity present - Intermittent palpitations - Vitamin D deficiency Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -NALTREXONE 50 MG TABLET -ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE -TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM -BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE Recently Ended Within 30-Days of Message: -NALTREXONE 8 MG-BUPROPION 90 MG TABLET,EXTENDED RELEASE
Patient #1
Doctor, I hope all is well with you and your family. I am messaging you as I took my temperature after feeilng a bit warm and coughing a bit this morning and found it to be 100.9. I thought you should know this. I think I am okay but I am home alone this weekend so I needed to make sure you knew. Thank you.
###Demographics### Age: Between 75 - 80 Gender: Female ###Full Active Problem List###: DDD (degenerative disc disease), lumbosacral - Bladder tumor - Closed die-punch intra-articular fracture of distal end of right radius - Essential hypertension - Spinal stenosis, lumbar region, without neurogenic claudication - Takotsubo cardiomyopathy - DJD (degenerative joint disease) of hip - Wrist fracture, closed, right, initial encounter - Distal radius fracture, left - Sacroiliac joint dysfunction of both sides - Radiculopathy of lumbar region - Bladder cancer - Unspecified abnormal findings in urine - Carpal tunnel syndrome on left - Adnexal mass - Osteopenia - Microhematuria - Healthcare maintenance - Arthritis of carpometacarpal (CMC) joint of left thumb - Arthritis of carpometacarpal (CMC) joint of right thumb ###Recent Encounters (Max 10)### Diagnoses (Past Year): On statin therapy due to risk of future cardiovascular event - Malignant neoplasm of urinary bladder, unspecified site - Hypertension, unspecified type - Unspecified abnormal finding in specimens from female genital organs - Pelvic mass in female - History of cardiomyopathy - Malignant neoplasm of lateral wall of urinary bladder Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR -ATORVASTATIN 10 MG TABLET -PREGABALIN 75 MG CAPSULE -CELECOXIB 200 MG CAPSULE -HYDROCHLOROTHIAZIDE 25 MG TABLET
Dr Z, My period was due on the 21st and I've taken pregnancy tests that have come back negative. I normally I get severe menstrual cramps that I take Co-codamol to deal with, and I am now getting this pain is similar to what I experience then but in the wrong place. The pain seems to be worse when I urinate, and I am unsure if this is all realted to my period or something else? Would really apprecaite your feedback!!
###Demographics### Age: Between 25 - 30 Gender: Female ###Full Active Problem List###: Endometriosis - Spondyloarthropathy - Chronic pelvic pain in female - Ankle instability, left - Migraine - Alternating constipation and diarrhea ###Recent Encounters (Max 10)### Diagnoses (Past Year): Sacral pain - Non-radiographic axial spondyloarthritis - High risk medication use - Chronic migraine without aura without status migrainosus, not intractable - Nocturnal pain - Back strain, subsequent encounter - Sore throat - Paresthesias - Tingling in extremities - Lumbar spondylosis Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -CYCLOBENZAPRINE 5 MG TABLET -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -ONDANSETRON HCL 4 MG TABLET -KETOROLAC 10 MG TABLET -TOPIRAMATE 25 MG TABLET -HUMIRA(CF) PEN 40 MG/0.4 ML SUBCUTANEOUS KIT -GABAPENTIN 100 MG CAPSULE -CITALOPRAM 20 MG TABLET -LORAZEPAM 1 MG TABLET -LIDOCAINE HCL 2 % MUCOSAL JELLY
Patient #1
Doctor, I hope all is well with you and your family. I am messaging you as I took my temperature after feeilng a bit warm and coughing a bit this morning and found it to be 100.9. I thought you should know this. I think I am okay but I am home alone this weekend so I needed to make sure you knew. Thank you.
###Demographics### Age: Between 75 - 80 Gender: Female ###Full Active Problem List###: DDD (degenerative disc disease), lumbosacral - Bladder tumor - Closed die-punch intra-articular fracture of distal end of right radius - Essential hypertension - Spinal stenosis, lumbar region, without neurogenic claudication - Takotsubo cardiomyopathy - DJD (degenerative joint disease) of hip - Wrist fracture, closed, right, initial encounter - Distal radius fracture, left - Sacroiliac joint dysfunction of both sides - Radiculopathy of lumbar region - Bladder cancer - Unspecified abnormal findings in urine - Carpal tunnel syndrome on left - Adnexal mass - Osteopenia - Microhematuria - Healthcare maintenance - Arthritis of carpometacarpal (CMC) joint of left thumb - Arthritis of carpometacarpal (CMC) joint of right thumb ###Recent Encounters (Max 10)### Diagnoses (Past Year): On statin therapy due to risk of future cardiovascular event - Malignant neoplasm of urinary bladder, unspecified site - Hypertension, unspecified type - Unspecified abnormal finding in specimens from female genital organs - Pelvic mass in female - History of cardiomyopathy - Malignant neoplasm of lateral wall of urinary bladder Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR -ATORVASTATIN 10 MG TABLET -PREGABALIN 75 MG CAPSULE -CELECOXIB 200 MG CAPSULE -HYDROCHLOROTHIAZIDE 25 MG TABLET
Hi Doctor, As you know, I have been getting menstural cramps for years now, but lately they have gotten worse. I used to tolerate them okay but the cramps are so bad that I can barely move at all, and they're getting worse every month. The only thing that works is heating pads. But even then it's not helping much. So yeah it's gotten to the point that I really wanted to schedule something with you to talk about this. I don't known if I need a stronger NSAID or if there is a new type of medication that can help or if there is something WRONG WITH ME but I really want to try something. Thanks
###Demographics### Age: Between 25 - 30 Gender: Female ###Full Active Problem List###: Vaginitis - Vocal cord strain - PID (acute pelvic inflammatory disease) - Generalized anxiety disorder - Laryngopharyngeal reflux (LPR) - Change in voice - Bladder pain - Eating disorder - Psychiatric disorder - Irritable bowel syndrome with diarrhea - Memory loss - Excessive anger - OAB (overactive bladder) - Bipolar disorder - Migraine without status migrainosus, not intractable - Mixed incontinence - Dysuria - IIH (idiopathic intracranial hypertension) - Elevated TSH - Cigarette nicotine dependence with nicotine-induced disorder ###Recent Encounters (Max 10)### Diagnoses (Past Year): Breast mass in female - Palpitation - IC (interstitial cystitis) - Post-traumatic stress disorder, chronic - Depression, major, recurrent, in remission - Memory change Diagnoses (Older): ###Medications (Outpatient)### Active (Start Date Before Message, Not Yet Ended): -ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER -LEVOCETIRIZINE 5 MG TABLET -PRAZOSIN 1 MG CAPSULE -OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE -LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE -FUROSEMIDE 20 MG TABLET -LEVONORGESTREL 20 MCG/24 HOURS (7 YRS) 52 MG INTRAUTERINE DEVICE -SERTRALINE 25 MG TABLET -VIBEGRON 75 MG TABLET -GABAPENTIN 400 MG CAPSULE
Patient #1
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