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[Conversation Start][SEP][Greetings][Doctor] hi , albert . how are you ? [Patient] hey , good to see you .[SEP][Chitchat][Doctor] it's good to see you too . so , i know the nurse told you about dax . i'd like to tell dax a little bit about you . [Patient] sure .[SEP][Personal History][Doctor] so , albert is a 62-year-o... | [
"Personal History"
] | [
"Subjective"
] | 300 |
[Conversation Start][SEP][Greetings][Doctor] hi , alexander . how are you ? [Patient] i'm doing really well . thank you .[SEP][Chitchat][Doctor] so , i know the nurse told you a little bit about dax . i'd like to tell dax about you . okay ? [Patient] sure .[SEP] | [
"Therapeutic History",
"Personal History"
] | [
"Subjective"
] | 301 |
[Diagnostic Testing][Doctor] that will be our next step so we'll get you scheduled for the mri probably get you in pretty quick here since we're a private practice [Patient] thank god[SEP][Discussion][Other Treatments][Doctor] yeah and once you get the mri i'll know a little bit more what i'd like to do is something ca... | [
"Discussion"
] | [
"Plan"
] | 302 |
[Conversation Start][SEP][Greetings][Doctor] hi , andrew . how are you ? [Patient] hey , good to see you .[SEP][Chitchat][Doctor] i'm doing well , i'm doing well . [Patient] good .[SEP][Chitchat][Doctor] so , i know the nurse told you about dax . i'd like to tell dax a little bit about you . [Patient] sure .[SEP][Acute... | [
"Personal History",
"Therapeutic History"
] | [
"Subjective"
] | 303 |
[Conversation Start][SEP][Greetings][Doctor] hi , cheryl . how are you ? [Patient] i'm doing well . how are you ?[SEP][Chitchat][Doctor] i'm doing well . so i know the nurse told you a little bit about dax . i'd like to tell dax about you . [Patient] okay .[SEP][Acute Symptoms][Personal History][Doctor] cheryl is a 34-... | [
"Acute Symptoms"
] | [
"Subjective"
] | 304 |
[Discussion][Medication][Diagnostic Testing][Reassessment][Doctor] so i also want to go ahead and order a chest x-ray just to make sure that we are not missing anything else okay for your second problem of your coronary artery disease you know it sounds like you're doing well except for this heart failure exacerbation ... | [
"Discussion",
"Medication",
"Diagnostic Testing",
"Reassessment"
] | [
"Assessment",
"Plan"
] | 305 |
[Personal History][Doctor] and was it relatively a normal exam ? did you have any polyps ? [Patient] no . they said they'd see me in 10 years .[SEP][Chitchat][Doctor] well that's good news . [Patient] yeah , i agree .[SEP][Vegetative History][Doctor] um , do you have a pacemaker or defibrillator , or have sleep apnea ,... | [
"Therapeutic History"
] | [
"Subjective"
] | 306 |
[Conversation Start][SEP][Greetings][Doctor] hi kyle how are you today [Patient] i'm doing well i'm just anxious about my pcp told me that i had some abnormal lab work and why she wanted me to be seen by you today[SEP][Personal History][Doctor] yeah i bet that did make you nervous i i see that she referred you for a lo... | [
"Discussion"
] | [
"Plan"
] | 307 |
[Conversation Start][SEP][Greetings][Doctor] hi , andrew , how are you ? [Patient] hi . good to see you .[SEP][Chitchat][Doctor] it's good to see you as well . so i know that the nurse told you about dax . i'd like to tell dax a little bit about you . [Patient] sure .[SEP] | [
"Acute Symptoms",
"Personal History"
] | [
"Subjective"
] | 308 |
[Physical Examination][Doctor] okay okay good let's go ahead and do physical exam on karen here alright karen i'm just gon na take a look at you and and ask you to follow some commands okay [Patient] okay[SEP][Physical Examination][Doctor] alright can you follow my finger with your eyes good now can you do me a favor w... | [
"Discussion"
] | [
"Plan"
] | 309 |
[Chitchat][Doctor] yard work [Patient] landscaping landscaping[SEP][Personal History][Other Socials][Doctor] landscaping okay so a lot of raking a lot of digging so a lot of repetitive type movements [Patient] yeah it's pretty heavy labor but it's yeah the same thing day in and day out[SEP][Acute Symptoms][Doctor] okay... | [
"Drug History"
] | [
"Subjective"
] | 310 |
[Conversation Start][SEP][Acute Symptoms][Greetings][Doctor] so sophia i see that you you hurt your knee tell me about what happened [Patient] yeah i was jumping on my kid's trampoline and i could just slipped out from under me[SEP][Chitchat][Doctor] my gosh one of those big trampolines in your back yard [Patient] yeah... | [
"Acute Symptoms"
] | [
"Subjective"
] | 311 |
[Discussion][Doctor] what is it [Patient] is it is that that thing where like you take the blood out of like say my my thigh[SEP][Discussion][Doctor] mm-hmm [Patient] and then you literally inject it into my tendon[SEP][Chitchat][Doctor] yeah that's exactly what it is [Patient] interesting cool[SEP] | [
"Discussion"
] | [
"Plan"
] | 312 |
[Physical Examination][Doctor] looks like you have little bit of limited range of motion on extension not on flexion though you said it hurts right here on the inside of your elbow [Patient] yes[SEP][Physical Examination][Doctor] okay so pain on the medial side with palpation [Patient] yes[SEP][Physical Examination][Do... | [
"Chitchat"
] | [
"Null"
] | 313 |
[Physical Examination][Follow-up][Doctor] all right , they look okay right now , certainly let your doctor know about this if it gets any worse or reoccurs . [Patient] okay , i will do that .[SEP][Lab Examination][Doctor] now , let's go over your lab work . so , when you took that pill , the dexamethasone test , you pa... | [
"Personal History",
"Lab Examination"
] | [
"Subjective",
"Objective"
] | 314 |
[Vegetative History][Doctor] okay and then any numbness or tingling in in your lower extremities or any weakness there in your legs [Patient] you know it it's my back that's weak and my legs are weak both of them you know coughing sneezing seem to make it worse so sorry i'm just trying to be like a typical patient beca... | [
"Physical Examination"
] | [
"Objective"
] | 315 |
[Conversation Start][SEP][Greetings][Doctor] hi miss russell . [Patient] hi-[SEP][Greetings][Doctor] nice to meet you- [Patient] doctor gutierrez . how are you ?[SEP][Greetings][Doctor] i'm well . [Patient] good .[SEP][Acute Symptoms][Doctor] hey dragon . i'm seeing miss russell . she's a 39-year-old female here for , ... | [
"Acute Symptoms"
] | [
"Subjective"
] | 316 |
[Personal History][Doctor] do n't weigh all so speaking of eating let's talk a little bit about your diet i see here on your chart that you're a type two diabetic and it looked like that you were gon na handle that with diet and exercise let's talk about that a little bit [Patient] well you know i my my diet was worse ... | [
"Personal History"
] | [
"Subjective"
] | 317 |
[Acute Symptoms][Personal History][Greetings][Doctor] patient shirley taylor . date of birth 5/4/1961 . mrn 0000123 . patient is a 60 year old right-handed female new patient referred by dr. jacob ward for evaluation of bilateral hand numbness and tingling . please note that i personally reviewed the ct brain with and ... | [
"Acute Symptoms"
] | [
"Subjective"
] | 318 |
[Acute Symptoms][Doctor] okay which knee was it [Patient] my right knee[SEP][Acute Symptoms][Doctor] right knee okay and when did this happen [Patient] about four days ago[SEP][Acute Symptoms][Doctor] great the weather was perfect this weekend so i'm glad you at least got outside sorry to hear you got hurt okay so your... | [
"Acute Symptoms"
] | [
"Subjective"
] | 319 |
[Discussion][Other Treatments][Doctor] i understand . um , you can close your gown now . the only thing that is really going to help out that is to uh , to cut it out and re-close it . [Patient] okay[SEP][Discussion][Other Treatments][Doctor] and you do n't want that , ? [Patient] i mean , not right now .[SEP][Discussi... | [
"Follow-up"
] | [
"Plan"
] | 320 |
[Vegetative History][Doctor] was the pain worse with eating or exercise ? [Patient] yes . with eating .[SEP][Vegetative History][Doctor] okay . any difficulty swallowing ? [Patient] mm-hmm . i did .[SEP][Personal History][Vegetative History][Doctor] okay . and that's also resolved since the initial episode three months... | [
"Vegetative History"
] | [
"Subjective"
] | 321 |
[Conversation Start][SEP][Greetings][Acute Symptoms][Doctor] hi kenneth how are you the medical assistant told me that you had some knee pain [Patient] yeah i was getting ready for the holiday weekend and i was out on my boat skiing and i i did a jump and kinda twisted when i landed and my knee has been hurting me ever... | [
"Acute Symptoms"
] | [
"Subjective"
] | 322 |
[Vegetative History][Doctor] okay and then you said you do n't vape so no vaping or e-cigarette use at all [Patient] hmmm hmmm[SEP][Other Socials][Drug History][Doctor] okay and then are you routinely in an area where there is a lot of airborne particular like smoking in bars or around any type of of you know like race... | [
"Follow-up",
"Medication",
"Acute Assessment"
] | [
"Assessment",
"Plan"
] | 323 |
[Vegetative History][Doctor] not really ? [Patient] . well , i have n't had any pasta ; i just do n't really like it , so we do n't have any in the house . we do n't often have bread , and if we do , we buy wheat bread .[SEP][Vegetative History][Doctor] okay . but even the wheat bread , try to cut down on the number of... | [
"Personal History"
] | [
"Subjective"
] | 324 |
[Acute Symptoms][Doctor] okay and do you remember what you were doing when the pain started [Patient] honestly i've been trying to recall if i had any specific injury and i ca n't think of that[SEP][Personal History][Doctor] okay alright tell me have you ever had pain in that shoulder before [Patient] you know i i'm re... | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | 325 |
[Vegetative History][Doctor] but i wan na go ahead and , um ... you know , i know that the nurse did a review of system sheet and we just covered a lot here . [Patient] mm-hmm .[SEP][Vegetative History][Doctor] any other symptoms , abdominal pain , nausea , vomiting ? [Patient] no , no .[SEP][Vegetative History][Doctor... | [
"Physical Examination"
] | [
"Objective"
] | 326 |
[Physical Examination][Doctor] okay and then once i get down here and around that low back i wan na press in the center first does that cause you a lot of pain [Patient] yeah[SEP][Chitchat][Doctor] yeah okay [Patient] yeah that that's the spot[SEP][Physical Examination][Doctor] okay and if i come over here to the right... | [
"Physical Examination"
] | [
"Objective"
] | 327 |
[Chitchat][Doctor] interrupt you [Patient] yeah[SEP][Personal History][Therapeutic History][Doctor] okay have you tried taking melatonin to sleep [Patient] i used it a couple times but but it did n't seem to help that much[SEP][Discussion][Medication][Doctor] okay how about i do n't think i've prescribed you anything y... | [
"Chitchat"
] | [
"Null"
] | 328 |
[Chitchat][Doctor] was that long ago [Patient] yes[SEP][Personal History][Doctor] wow what happened what did they do [Patient] microdiscectomy my disk broke off and just wrapped around and connected to my spinal thecal sac[SEP][Acute Symptoms][Doctor] sounds horrible [Patient] it's not the poop sac though[SEP][Acute Sy... | [
"Therapeutic History"
] | [
"Subjective"
] | 329 |
[Acute Symptoms][Doctor] okay . remember , it's also the portion sizes . so i mean , if you eat a little and you feel fine , then that's okay . you have to just really watch the portions . [Patient] okay , good . i ca n't go out- go without some fried chicken at least once in a while .[SEP][Physical Examination][Doctor... | [
"Discussion",
"Medication"
] | [
"Plan"
] | 330 |
[Personal History][Doctor] okay alright and so okay fair enough now how's your diabetes been been been doing lately have you what have your blood sugars been running in the low one hundreds or two hundreds or what [Patient] i have n't been checking my blood sugars[SEP][Therapeutic History][Doctor] really okay well we w... | [
"Other Socials"
] | [
"Subjective"
] | 331 |
[Discussion][Other Treatments][Doctor] yeah that sounds like a great idea and i think if that's something that we can maybe discuss to get you in contact with someone who can offer you someone with a degree that can offer you some really good advice you know i do n't wan na as much as it's really helpful to have friend... | [
"Physical Examination",
"Other Socials"
] | [
"Subjective",
"Objective"
] | 332 |
[Conversation Start][SEP][Acute Symptoms][Greetings][Doctor] hi billy how are you doing the medical assistant told me that you have a cough today [Patient] yep i'm doing pretty good you know cough started about a week ago or so you know i just started bringing up some yellow stuff and not feeling the greatest the last ... | [
"Acute Symptoms"
] | [
"Subjective"
] | 333 |
[Acute Symptoms][Therapeutic History][Doctor] yes . what do you do for your acne in the morning ? and then what do you do at nighttime ? [Patient] i wash my face , more like i wipe it down in the morning . then at night i use an elf facial cleanser called the super clarity cleanser . i finish with a toner and then the ... | [
"Vegetative History"
] | [
"Subjective"
] | 334 |
[Vegetative History][Doctor] alright now have you had any fevers [Patient] not that i remember i i feel warm but never really took my temperature[SEP][Vegetative History][Doctor] you feel warm okay alright any chills [Patient] no no chills you know just a little achy at times[SEP][Vegetative History][Doctor] okay and h... | [
"Other Socials"
] | [
"Subjective"
] | 335 |
[Physical Examination][Doctor] all right . well , for physical exam , please use the regular template . all right , please just breathe normally . great . and now take a few deep breaths for me . all right . do you feel okay ? are you feeling any dizziness or anything ? [Patient] no , i feel fine .[SEP][Physical Examin... | [
"Discussion",
"Acute Assessment"
] | [
"Assessment",
"Plan"
] | 336 |
[Chitchat][Doctor] okay . let me put that into the system , and then downstairs they can do the ultrasound . [Patient Guest] all right , thank you .[SEP][Other Socials][Doctor] okay , yeah . where do you all live ? [Patient Guest] uh , we live in dallas .[SEP][Family History][Doctor] okay . anybody in the family with k... | [
"Physical Examination"
] | [
"Objective"
] | 337 |
[Personal History][Vegetative History][Doctor] okay , all right . okay , and- and can you describe it ? [Patient] it's like a burn .[SEP][Personal History][Vegetative History][Doctor] okay , and where exactly is it located in your chest ? [Patient] just , um , right in the middle ...[SEP][Personal History][Vegetative H... | [
"Acute Symptoms",
"Vegetative History"
] | [
"Subjective"
] | 338 |
[Personal History][Vegetative History][Doctor] okay , and where exactly is it located in your chest ? [Patient] just , um , right in the middle ...[SEP][Personal History][Vegetative History][Doctor] okay . and how often are you getting it ? [Patient] um , probably about three- three times a week .[SEP][Acute Symptoms][... | [
"Physical Examination"
] | [
"Objective"
] | 339 |
[Acute Symptoms][Therapeutic History][Doctor] okay , all right . i think they have here metformin ? [Patient] yeah , that's- that sounds right .[SEP][Acute Symptoms][Personal History][Doctor] all right , um , and , um , in terms of your anxiety , i'm sure that this did n't help much- [Patient] did n't help , no , not a... | [
"Vegetative History"
] | [
"Subjective"
] | 340 |
[Physical Examination][Doctor] okay , squeeze my finger here . good . can you feel me touch out here ? [Patient] yep .[SEP][Physical Examination][Doctor] okay . and , can you feel me touch you down here ? [Patient] yep .[SEP][Physical Examination][Doctor] okay . no swelling . push your leg out . good . pull it back . m... | [
"Physical Examination",
"Discussion",
"Reassessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 341 |
[Physical Examination][Doctor] all right . does that hurt ? [Patient] a little bit . that's tender .[SEP][Physical Examination][Doctor] okay , so on physical examination , on your heart exam , i do appreciate a little two out of six systolic ejection murmur- [Patient] mm-hmm .[SEP][Physical Examination][Doctor] . which... | [
"Lab Examination"
] | [
"Objective"
] | 342 |
[Discussion][Doctor] yeah , use , um , right hand- [Patient] okay .[SEP][Discussion][Doctor] . instead- [Patient] mm-hmm .[SEP][Discussion][Doctor] . for the next , uh , at least just three to four weeks . [Patient] mm-hmm .[SEP][Follow-up][Doctor] uh , come back to see me if the pain , you know , still there after may... | [
"Chitchat"
] | [
"Null"
] | 343 |
[Drug History][Drug History][Doctor] okay alright when did you stop smoking [Patient] couple years ago maybe four or so years ago[SEP][Drug History][Doctor] okay alright and how many packs a day would you smoke [Patient] gosh back then yeah was at least two[SEP][Drug History][Doctor] okay alright how many years did you... | [
"Acute Symptoms"
] | [
"Subjective"
] | 344 |
[Acute Symptoms][Doctor] yeah , okay . [Patient] and , uh , i do n't know . maybe i must have toppled over into some weird position , so it started to pain since then , uh , because of a certain move .[SEP][Acute Symptoms][Doctor] okay , uh- [Patient] i went overboard , i think . yeah .[SEP][Physical Examination][Docto... | [
"Physical Examination"
] | [
"Objective"
] | 345 |
[Personal History][Doctor] perfect . i want to back up and go over your history so i can make sure everything in your chart is correct and i do n't miss anything . so , i'll tell you what we have in your chart from your other providers and you tell me if anything is wrong or missing . sound good ? [Patient] sounds good... | [
"Personal History"
] | [
"Subjective"
] | 346 |
[Greetings][Doctor] hi russell how are you what's been going on [Patient] well i've been having this sharp pain on the right side of my abdomen below my ribs for the last several days i saw my doctor and they ordered a cat scan and said i had a kidney stone and sent me to see a urologist[SEP][Acute Symptoms][Doctor] ok... | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | 347 |
[Other Socials][Vegetative History][Doctor] well so do you do you go out to eat a lot or do you where you where where are you eating those potato chips or is that just the home snacking or [Patient] that's home snacking i buy the the the the brand name salt and vinitive because brand wo n't taste real good but the the ... | [
"Acute Symptoms"
] | [
"Subjective"
] | 348 |
[Physical Examination][Doctor] alright so wrist abduction adduction positive for pain on movement are you able to make a fist [Patient] hmmm yeah a little bit but i ca n't do it really tight[SEP][Physical Examination][Doctor] okay alright okay so i'm just gon na go ahead and feel on your fingers really quickly alright ... | [
"Discussion",
"Other Treatments"
] | [
"Plan"
] | 349 |
[Personal History][Doctor] okay , good . so , um ... i know my nurse did a review of systems before you came in . there were really no significant issues . you have a history of chronic back pain , that's been doing well ? [Patient] yeah , it comes and goes , but right now it's been doing really well .[SEP][Personal Hi... | [
"Vegetative History"
] | [
"Subjective"
] | 350 |
[Acute Symptoms][Therapeutic History][Doctor] okay and i may miss did you say what have you been taking for pain for that [Patient] i just been taking some advil and then icing as much as i can so that's about it[SEP][Acute Symptoms][Therapeutic History][Doctor] okay and does that seem to help or [Patient] a little bit... | [
"Vegetative History"
] | [
"Subjective"
] | 351 |
[Conversation Start][SEP][Greetings][Doctor] hi , albert . how are you ? [Patient] hey , good to see you .[SEP] | [
"Chitchat"
] | [
"Null"
] | 352 |
[Personal History][Doctor] okay , and what shoulder was that ? [Patient] that was my right shoulder .[SEP][Vegetative History][Doctor] okay , all right . and , um , any pins and needles in your feet at all ? any swelling in your legs ? [Patient] uh , no , nothing like that .[SEP][Personal History][Doctor] okay , and yo... | [
"Vegetative History"
] | [
"Subjective"
] | 353 |
[Acute Symptoms][Doctor] okay . any pain shooting down your legs at all ? [Patient] no .[SEP][Acute Symptoms][Doctor] is it on one side or the other of your back ? [Patient] um , it's more on the right .[SEP][Acute Symptoms][Doctor] on the right . is there anything that makes it better or worse ? [Patient] uh , if i'm ... | [
"Physical Examination",
"Radiology Examination"
] | [
"Objective"
] | 354 |
[Conversation Start][SEP][Acute Symptoms][Personal History][Greetings][Doctor] so hi zachary good to see you today so i'm looking at my notes i see you coming in with some right elbow pain and you also have a past medical history of hypertension diabetes we're gon na check on those so can you tell me what happened to y... | [
"Acute Symptoms"
] | [
"Subjective"
] | 355 |
[Physical Examination][Doctor] little bit how about when i press on the outs the outside gon na press on the outside is that painful [Patient] no[SEP][Physical Examination][Doctor] no alright so i'm gon na have you flex your knee is that painful [Patient] yeah that's uncomfortable[SEP][Physical Examination][Doctor] tha... | [
"Discussion"
] | [
"Plan"
] | 356 |
[Physical Examination][Doctor] okay there is pain to palpation on the right knee and i'm just gon na move it all around does that hurt [Patient] little bit yeah[SEP][Physical Examination][Discussion][Medication][Diagnostic Testing][Acute Assessment][Doctor] okay so there is decreased flexion and extension of the right ... | [
"Chitchat"
] | [
"Null"
] | 357 |
[Therapeutic History][Doctor] okay do you take any oral hormone replacement therapy [Patient] no[SEP][Personal History][Doctor] okay any history of endometriosis [Patient] any history of what[SEP][Personal History][Doctor] endometriosis [Patient] no[SEP][Family History][Doctor] okay how about any family history of any ... | [
"Physical Examination"
] | [
"Objective"
] | 358 |
[Acute Symptoms][Doctor] and when did this happen ? [Patient] it happened , uh ... that was sunday .[SEP][Acute Symptoms][Therapeutic History][Doctor] okay . and have you tried anything for this or anything made it better or worse ? [Patient] i tried , um , putting ice on it .[SEP] | [
"Acute Symptoms"
] | [
"Subjective"
] | 359 |
[Vegetative History][Doctor] okay and how about any nausea or vomiting [Patient] no not as of today[SEP][Vegetative History][Doctor] okay and i know you were mentioning a cough before how is it as far as walking are you having any shortness of breath [Patient] i have n't noticed any shortness of breath it just kind of ... | [
"Vegetative History"
] | [
"Subjective"
] | 360 |
[Physical Examination][Doctor] okay so pain with lumbar flexion and so i'm gon na have you lie down and we're gon na do i'm sorry okay and then i see that a supine straight leg test is positive alright so for your neurological exam you said that you are experiencing pain radiating down radiating down your left leg corr... | [
"Discussion",
"Medication"
] | [
"Plan"
] | 361 |
[Vegetative History][Doctor] okay okay and and so and you vomited how many times [Patient] a couple of times[SEP][Vegetative History][Doctor] okay alright been drinking a lot of coffee you said too uh is that is that starbucks i love those nitrocolbrus and starbucks we ever had those those are incredible [Patient] yeah... | [
"Acute Symptoms"
] | [
"Subjective"
] | 362 |
[Conversation Start][SEP][Acute Symptoms][Greetings][Doctor] hi frank how are you i heard the medical assistant told me that you're having some shortness of breath [Patient] i am i am i am okay i am not great[SEP][Acute Symptoms][Doctor] you are okay you are not great okay well how long have you been having some shortn... | [
"Vegetative History"
] | [
"Subjective"
] | 363 |
[Acute Assessment][Doctor] you're welcome . so what i think we're dealing with is right hip degenerative joint disease . [Patient] okay .[SEP][Referral][Doctor] and we do have some options . so first is to start some low impact exercises . i can provide you with a hand out with what exercises you can do . you should ta... | [
"Chitchat"
] | [
"Null"
] | 364 |
[Physical Examination][Doctor] you can go ahead and sit up . [Patient] thank you .[SEP][Discussion][Doctor] all right , so typically the lumps would often just shrink up pretty quickly after you've had one or two cycles , and you've had two cycles so far . so i think let's just keep monitoring them for now . [Patient] ... | [
"Discussion"
] | [
"Plan"
] | 365 |
[Other Socials][Doctor] and then we'll talk more about the surgery and what it entails . and , um , at this point , who is your insurance provider ? [Patient] i have blue cross blue shield . well , actually , my husband just accepted a new job , and i will be on his plan , uh , which i believe is not going to be blue c... | [
"Personal History"
] | [
"Subjective"
] | 366 |
[Acute Symptoms][Doctor] okay . like , in terms of gripping things ? [Patient] yeah .[SEP][Acute Symptoms][Doctor] really ? [Patient] yeah . it does n't work properly . or , it works very rarely .[SEP][Therapeutic History][Doctor] gotcha . and did i hear that she gave you some prednisone and some oral steroids , or ? [... | [
"Therapeutic History"
] | [
"Subjective"
] | 367 |
[Conversation Start][SEP][Personal History][Greetings][Doctor] patient is pamela cook . medical record number is 123546 . she's a 36-year-old female post bilateral reduction mammoplasty on 10-10 20-20 . hey , how are you ? [Patient] good . how are you ?[SEP][Personal History][Doctor] i'm doing well . it's good to see y... | [
"Personal History"
] | [
"Subjective"
] | 368 |
[Other Socials][Doctor] so is it interfering with your just things you like to do and [Patient] hmmm no not really[SEP][Other Socials][Doctor] so i know you said that you like to do a lot of travel [Patient] yeah i've got a trip planned here in the next month or so and we are going down to columbus georgia to a a lion'... | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | 369 |
[Lab Examination][Doctor] so it just needs to be checked every year or so . [Patient] so in terms of , uh , estrogen control i've been hearing that indole-3-carbinol , or broccoli extract , supposedly can improve my estrogen levels . have you ever heard of it ?[SEP][Discussion][Doctor] yeah , i've heard of it but i hav... | [
"Therapeutic History"
] | [
"Subjective"
] | 370 |
[Conversation Start][SEP][Greetings][Doctor] hi alan , how are you ? [Patient] hi , good to see you .[SEP][Chitchat][Doctor] good to see you as well . are you ready to get started ? [Patient] yes i am .[SEP][Acute Symptoms][Doctor] so , alan is a 61-year-old male , here with complaints of shortness of breath . so alan ... | [
"Acute Symptoms",
"Vegetative History"
] | [
"Subjective"
] | 371 |
[Acute Symptoms][Doctor] mm-hmm , like right on your shoulder . [Patient] yeah .[SEP][Acute Symptoms][Doctor] that sounds like it hurt . [Patient] it was nasty .[SEP][Acute Symptoms][Doctor] um , so this happened , what ? like 12 hours ago now ? [Patient] uh , seven o'clock last night , so a little more than that .[SEP... | [
"Acute Symptoms"
] | [
"Subjective"
] | 372 |
[Conversation Start][SEP][Acute Symptoms][Personal History][Greetings][Doctor] so tyler is a 56 -year-old male who presents today complaining of difficulty swallowing and has a past medical history of diabetes and high blood pressure so tyler tell me what's going on with your swallowing problem [Patient] well it's just... | [
"Vegetative History"
] | [
"Subjective"
] | 373 |
[Drug History][Doctor] okay alright how about smoking have you ever smoked [Patient] i do smoke i'm down to one to two cigarettes a day it's just really been tough to just get rid of those two but i've cut down a lot i used to i was up to one point or a pack and a half a day[SEP][Chitchat][Doctor] wow okay alright so y... | [
"Other Socials"
] | [
"Subjective"
] | 374 |
[Conversation Start][SEP][Personal History][Greetings][Therapeutic History][Doctor] tyler nelson , date of birth : 3 , 6 , 1949 , mrn , 385729 . he is here today for ongoing management of rheumatoid arthritis . last time he was here , he received a steroid injection in his right knee . hello mr. nelson , how are you ? ... | [
"Acute Symptoms"
] | [
"Subjective"
] | 375 |
[Acute Symptoms][Doctor] wow that's pretty bad does it keep you up at night [Patient] yes it really does it's you know if i roll over and it it it just wakes me up[SEP][Acute Symptoms][Therapeutic History][Doctor] okay have you done anything to relieve the pain [Patient] well i have been taking some ibuprofen but that ... | [
"Acute Symptoms"
] | [
"Subjective"
] | 376 |
[Vegetative History][Doctor] a dry cough okay and tell me more about this sore throat [Patient] this kind of seems to be persistent comes and goes it will be worse sometimes and then others it feels better trying to drink lots of fluids[SEP][Vegetative History][Doctor] okay and when you mention drinking and eating is d... | [
"Vegetative History"
] | [
"Subjective"
] | 377 |
[Acute Symptoms][Doctor] so in the area of your mid abdomen , just below the belly button ? [Patient] correct . i've had the pain on and off for about two years . i finally went to the er and a ... a few months ago and they did a ct scan .[SEP][Acute Symptoms][Doctor] i saw that . [Patient] yeah . they said they did n'... | [
"Personal History",
"Vegetative History"
] | [
"Subjective"
] | 378 |
[Acute Symptoms][Doctor] okay . when did these four days of chest pain occur ? [Patient] um , early october .[SEP][Acute Symptoms][Doctor] of 2020 , correct ? [Patient] yes .[SEP][Acute Symptoms][Doctor] okay . can you think of anything that might have caused the chest pain ? did you wake up with it ? [Patient] no . it... | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | 379 |
[Personal History][Doctor] great . how about your breasts , are they doing all right ? [Patient] great .[SEP][Vegetative History][Doctor] are you having any chills , fever , nausea , or vomiting ? [Patient] no .[SEP][Chitchat][Doctor] good . all right . let's take a peek real quick . [Patient] sure .[SEP][Other Socials... | [
"Physical Examination"
] | [
"Objective"
] | 380 |
[Acute Symptoms][Doctor] okay . well , that's really good to hear . i'm glad . are you having any new symptoms right now ? [Patient] no , not really . but , you know , i'm still getting some chest pains sometimes , and my breathing gets shallow . but , i guess i'm learning what i can and ca n't do . uh , so if i feel l... | [
"Therapeutic History"
] | [
"Subjective"
] | 381 |
[Physical Examination][Doctor] okay . range of motion is decreased in exertion . lateral flection without pain . any pain when i push ? [Patient] no .[SEP][Physical Examination][Doctor] okay . you can go ahead and , um , sit down please . no pain ? [Patient] no .[SEP][Physical Examination][Doctor] okay . sacroiliac sig... | [
"Physical Examination"
] | [
"Objective"
] | 382 |
[Vegetative History][Doctor] any burning when you urinate ? [Patient] no .[SEP][Vegetative History][Doctor] any joint pain or muscle aches ? [Patient] no .[SEP][Personal History][Doctor] perfect . um , and then , i know that you have this history of a-fib , atrial fibrillation . have you felt your heart racing at all ,... | [
"Personal History"
] | [
"Subjective"
] | 383 |
[Greetings][Doctor] hey hi bobby how are you doing [Patient] i'm doing good how are you[SEP][Acute Symptoms][Doctor] i'm doing fine so i understand you're here having some left or some right shoulder pain that you've had for a few weeks now [Patient] yeah it was i was doing some work in my backyard and a lot of differe... | [
"Acute Symptoms"
] | [
"Subjective"
] | 384 |
[Acute Symptoms][Doctor] okay it kinda try let's let's try describing the pain for me please [Patient] yeah it's kind of feels like it's like right behind my kneecaps[SEP][Acute Symptoms][Doctor] a deep achy pain okay what kind of activities makes the pain feel worse [Patient] let's see so anytime so if i'm sitting at ... | [
"Other Socials"
] | [
"Subjective"
] | 385 |
[Physical Examination][Doctor] all right . and go ahead and straighten out as much as you can . [Patient] that's about it .[SEP][Chitchat][Doctor] all right . [Patient] yeah .[SEP][Physical Examination][Doctor] so there's some swelling there . and how about , uh , can you move your fingers okay ? does that hurt ? [Pati... | [
"Discussion",
"Follow-up"
] | [
"Plan"
] | 386 |
[Acute Symptoms][Doctor] okay . just when swimming ? are you swimming freestyle with your legs kicking straight or more like breaststroke where your legs kick out ? [Patient] yeah , it's only while swimming. i use the breaststroke so i guess where the legs are kicking out like a frog ... it kinda starts hurting a littl... | [
"Personal History"
] | [
"Subjective"
] | 387 |
[Vegetative History][Doctor] okay . and how about any recent weight gain or anything else like that ? [Patient] um , i lost a little bit of weight , but i still weigh a 120 pounds , but i normally weigh about 130 pounds .[SEP][Vegetative History][Doctor] mm-hmm . okay . [Patient] um , but that's been going down gradual... | [
"Personal History"
] | [
"Subjective"
] | 388 |
[Conversation Start][SEP][Greetings][Doctor] okay good morning [Patient] good morning thanks doctor doctor cooper i'm i'm you know i'm a little i'm sad to be in here but you know thanks for taking me in i appreciate it[SEP][Discussion][Doctor] sure absolutely what can i help you with today [Patient] so you know i've b... | [
"Therapeutic History"
] | [
"Subjective"
] | 389 |
[Conversation Start][SEP][Greetings][Doctor] hi , andrew , how are you ? [Patient] hi . good to see you .[SEP][Chitchat][Doctor] it's good to see you as well . so i know that the nurse told you about dax . i'd like to tell dax a little bit about you . [Patient] sure .[SEP][Acute Symptoms][Personal History][Doctor] okay... | [
"Acute Symptoms"
] | [
"Subjective"
] | 390 |
[Chitchat][Doctor] okay alright well i have a peloton who is your favorite instructor [Patient] i i actually do n't have a favorite instructor i have more favorite rides[SEP][Chitchat][Doctor] okay what kind of rides do you like [Patient] i like rock music and regain music rides so whoever is doing those in a began or ... | [
"Personal History"
] | [
"Subjective"
] | 391 |
[Conversation Start][SEP][Acute Symptoms][Personal History][Greetings][Doctor] patient shirley taylor . date of birth 5/4/1961 . mrn 0000123 . patient is a 60 year old right-handed female new patient referred by dr. jacob ward for evaluation of bilateral hand numbness and tingling . please note that i personally review... | [
"Acute Symptoms"
] | [
"Subjective"
] | 392 |
[Physical Examination][Lab Examination][Doctor] can you push your leg out ? push this one up . pull it back . yeah , good . okay . so on my exam , um ... your exam's essentially normal , your lungs are clear , are- ... you do n't have any adenopathy in your neck , you do n't have any , um , uh , hyperthyroidism . um , ... | [
"Discussion"
] | [
"Plan"
] | 393 |
[Conversation Start][SEP][Acute Symptoms][Greetings][Doctor] karen nelson is a 3 -year-old female with no significant past medical history who comes in for evaluation of a new right eye twitch karen is accompanied by her father hi karen how are you [Patient] i'm okay i guess[SEP] | [
"Acute Symptoms"
] | [
"Subjective"
] | 394 |
[Physical Examination][Doctor] great . so mister i would like to do a physical exam if that's okay with you [Patient] sure[SEP][Physical Examination][Doctor] i would like you to follow my finger here and i see that you're following my finger in in both directions can you show me your teeth . that looks nice and symmetr... | [
"Radiology Examination"
] | [
"Objective"
] | 395 |
[Personal History][Doctor] awesome . okay . [Patient Guest] and we also have speech therapy , who is going to be starting within the next couple of weeks .[SEP][Personal History][Doctor] that's great . [Patient Guest] so , she has a lot of therapies . we have also seen an orthopedic and an ophthalmologist . i can never... | [
"Personal History"
] | [
"Subjective"
] | 396 |
[Acute Symptoms][Therapeutic History][Doctor] okay have you taken anything for the pain yet [Patient] i tried some tylenol yesterday[SEP][Acute Symptoms][Therapeutic History][Doctor] alright did that work for you [Patient] a little[SEP][Acute Symptoms][Therapeutic History][Doctor] little do you have any [Patient] being... | [
"Personal History"
] | [
"Subjective"
] | 397 |
[Acute Symptoms][Therapeutic History][Doctor] no shortness of breath okay and what have you been doing for your cough [Patient] i've just been kinda drinking lots of water taking some cough medication over the counter and it seems like it's not really working[SEP][Personal History][Doctor] it's not helping okay and tel... | [
"Therapeutic History"
] | [
"Subjective"
] | 398 |
[Therapeutic History][Doctor] okay . so , you're currently taking vitamin d3 , around 5000 units on sundays , and two thous ... or 50,000 units on sundays , excuse me , and 2000s on the other six days , and then clindamycin prior to dental procedures , correct ? [Patient] yeah , that's right .[SEP][Therapeutic History]... | [
"Diagnostic Testing",
"Referral"
] | [
"Plan"
] | 399 |
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