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[Physical Examination][Reassessment][Doctor] so on physical examination , i- i do n't appreciate any carotid bruits in your neck . your heart on your heart exam , it does show that you have a slight two out of six systolic ejection murmur . your , there , your lung exam shows nice clear lungs bilaterally and you do hav... | [
"Discussion"
] | [
"Plan"
] | 3,600 |
[Discussion][Medication][Doctor] so there are definitely potential side effects to the vaccine . i mean , there's guillain-barre , and all these things that could happen from the vaccine , but they're just very rare . my thing for you is i'm not convinced that there's alternative stuff or even the treatment we have , l... | [
"Follow-up"
] | [
"Plan"
] | 3,601 |
[Physical Examination][Doctor] okay so let's go ahead and i want to do a quick examination here your blood pressure and was one twenty over sixty that's phenomenal your heart rate was fifty eight and you can tell that you're a runner with that that level of a heart rate and your respirations were fourteen so all of tha... | [
"Physical Examination"
] | [
"Objective"
] | 3,602 |
[Acute Symptoms][Doctor] five days ago . what were you doing ? were you , like , stopped at a stoplight ? a stop sign ? [Patient] yes . so i was stopped at a four-way stop , and it was not my turn to go . there were other cars going , and the person behind me just was n't watching . i think they were texting and rear-e... | [
"Acute Symptoms"
] | [
"Subjective"
] | 3,603 |
[Conversation Start][SEP][Greetings][Doctor] hey betty how are you doing [Patient] i'm doing okay i just been really frustrated because with my asthma and it just seems like i can never catch a break never get better i'm always it seems like i'm always coughing and wheezing[SEP][Personal History][Doctor] i'm sorry to h... | [
"Personal History"
] | [
"Subjective"
] | 3,604 |
[Vegetative History][Doctor] and have you had any headaches or swelling or anything like that that's been abnormal ? [Patient] i have some headaches but i just thought that was looking at a computer screen all day .[SEP][Vegetative History][Doctor] okay , well , that's fair . [Patient] yeah , exactly .[SEP][Vegetative ... | [
"Vegetative History"
] | [
"Subjective"
] | 3,605 |
[Conversation Start][SEP] | [
"Greetings"
] | [
"Subjective"
] | 3,606 |
[Conversation Start][SEP][Greetings][Acute Symptoms][Doctor] hi jaqueline how are you i heard that you injured your ankle [Patient] yeah it's not going so great[SEP][Acute Symptoms][Doctor] what what happened to your ankle [Patient] well i was doing something i did n't really want to be doing and i fell and now my ankl... | [
"Acute Symptoms"
] | [
"Subjective"
] | 3,607 |
[Conversation Start][SEP][Greetings][Doctor] hi , vincent . how are you ? [Patient] i'm good . how about you ?[SEP] | [
"Chitchat"
] | [
"Null"
] | 3,608 |
[Conversation Start][SEP][Personal History][Greetings][Doctor] patient , bruce ward . date of birth 5/21/1969 . please use my neuro consult template . this is a 52-year-old male with dia- newly diagnosed pituitary lesion . the patient is seen in consultation at the request of dr. henry howard for possible surgical inte... | [
"Acute Symptoms"
] | [
"Subjective"
] | 3,609 |
[Conversation Start][SEP] | [
"Greetings",
"Acute Symptoms"
] | [
"Subjective"
] | 3,610 |
[Vegetative History][Doctor] interesting . uh , do you remember having any heartburn or indigestion at , at the time ? [Patient] uh , maybe . i do n't think i've ever had heartburn , so i'm not sure what that feels like .[SEP][Vegetative History][Doctor] was the pain worse with eating or exercise ? [Patient] yes . with... | [
"Vegetative History"
] | [
"Subjective"
] | 3,611 |
[Physical Examination][Acute Assessment][Doctor] okay . great . let's do the exam . all right , so your physical exam looks pretty normal other than you've got kind of these mild wheezes in all your lung fields . and so i think you do have copd from your pulmonary function tests , your x-ray , and that . so i'm gon na ... | [
"Chitchat"
] | [
"Null"
] | 3,612 |
[Acute Symptoms][Vegetative History][Doctor] . and a little dizziness and we just talked a lot about a lot of other symptoms . [Patient] mm-hmm .[SEP][Acute Symptoms][Vegetative History][Doctor] any other symptoms i might be missing ? nausea or vomiting , diarrhea ? [Patient] no .[SEP][Vegetative History][Doctor] anyth... | [
"Physical Examination"
] | [
"Objective"
] | 3,613 |
[Physical Examination][Doctor] okay so pain when you're weightbearing does it hurt when i push right here on the left side [Patient] yes[SEP][Physical Examination][Doctor] pain with palpation to the left side around the l5 how about on the right side [Patient] no[SEP][Acute Symptoms][Doctor] no pain with palpation to t... | [
"Discussion",
"Medication"
] | [
"Plan"
] | 3,614 |
[Personal History][Doctor] yeah i understand how has your diet been lately [Patient] it's been pretty good[SEP][Physical Examination][Doctor] okay okay good good you know it's hard to stay away from the sugary foods sometimes i i enjoy ice cream regularly okay so let's do physical exam as long as you are here so i'm ju... | [
"Physical Examination",
"Medication",
"Other Treatments",
"Diagnostic Testing",
"Acute Assessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,615 |
[Physical Examination][Doctor] okay and when i push on this inside where it's a little swollen does that hurt [Patient] yes[SEP][Acute Symptoms][Doctor] yeah okay i'm just gon na ask a question did you hear or feel a pop in your knee when you were doing this [Patient] i did not no[SEP][Acute Symptoms][Therapeutic Histo... | [
"Discussion",
"Follow-up",
"Diagnostic Testing"
] | [
"Plan"
] | 3,616 |
[Chitchat][Doctor] we'll talk about that later too [Patient] okay[SEP][Physical Examination][Doctor] alright so let's take a let's take a peek at your knee here [Patient] okay[SEP][Chitchat][Doctor] you gon na stick it through the screen or how you're gon na do this alright [Patient] okay[SEP][Physical Examination][Doc... | [
"Physical Examination"
] | [
"Objective"
] | 3,617 |
[Conversation Start][SEP][Acute Symptoms][Greetings][Doctor] hi michelle what's been going on the medical assistant told me that you injured your knee [Patient] yeah i'm gon na have to keep this my favorite story is that i had a sandra who injured her knee cold dancing so that would immediately came up to mine but let'... | [
"Acute Symptoms"
] | [
"Subjective"
] | 3,618 |
[Acute Symptoms][Personal History][Greetings][Doctor] hey linda good to see you today so looking here in my notes looks like you you think you have a kidney stone think you've had them before and and you i guess you're having some pain and while we are here i see you i see you have a you have past medical history of hy... | [
"Acute Symptoms"
] | [
"Subjective"
] | 3,619 |
[Therapeutic History][Doctor] uh , can you tell me which medications you're taking ? [Patient] my new med is , uh , a combo med , something 40-25 .[SEP][Therapeutic History][Doctor] okay . um . yes , i see that in your chart . the benicar hct . it has hydrochlorothiazide in it . [Patient] yeah , that's it . my water pi... | [
"Personal History"
] | [
"Subjective"
] | 3,620 |
[Personal History][Doctor] have you ever had any type of injury to that knee i mean did you fall or bump it against something or [Patient] no not that i can recall[SEP][Acute Symptoms][Therapeutic History][Doctor] okay and have is it painful have you taken anything for for pain [Patient] no because it does n't last tha... | [
"Other Socials"
] | [
"Subjective"
] | 3,621 |
[Conversation Start][SEP][Acute Symptoms][Greetings][Doctor] hey brandon you know glad to see you in here today i see on your chart that you're experiencing some neck pain could you tell me a bit about what happened [Patient] yeah i was in a car crash[SEP] | [
"Acute Symptoms"
] | [
"Subjective"
] | 3,622 |
[Conversation Start][SEP] | [
"Greetings"
] | [
"Subjective"
] | 3,623 |
[Other Socials][Doctor] what well i do n't think so what what's your support system like [Patient] you know i i live with my dog and that's it so it's kind of you know lonely[SEP][Discussion][Referral][Doctor] okay alright well would you be interested in in like a referral to psychiatry or something like that so that y... | [
"Chitchat"
] | [
"Null"
] | 3,624 |
[Conversation Start][SEP] | [
"Acute Symptoms",
"Greetings"
] | [
"Subjective"
] | 3,625 |
[Personal History][Doctor] no okay that's fine have you measured your blood pressure recently at all [Patient] no[SEP][Therapeutic History][Personal History][Doctor] okay are you still taking your medication because i see you're on twenty milligrams of lisinopril [Patient] yeah most days i remember[SEP][Physical Examin... | [
"Therapeutic History",
"Personal History"
] | [
"Subjective"
] | 3,626 |
[Discussion][Medication][Doctor] yeah , mm-hmm . [Patient] okay .[SEP][Discussion][Medication][Doctor] so if we send it to pick'n save or metro market ... let's see where else . [Patient] can you do the metro market ?[SEP][Discussion][Medication][Doctor] yeah . let me put in the prescription and we'll see what we can f... | [
"Discussion",
"Medication"
] | [
"Plan"
] | 3,627 |
[Conversation Start][SEP][Personal History][Greetings][Doctor] patient is an 82 -year-old male with past medical history significant for hypertension and stage three chronic kidney disease who presents for hospital follow-up after an acute on chronic chf exacerbation alright hey hey kevin how are you doing today [Patie... | [
"Personal History"
] | [
"Subjective"
] | 3,628 |
[Acute Symptoms][Doctor] okay , and does the , um , do those symptoms improve when you stand up or change position ? [Patient] yeah , it does .[SEP][Acute Symptoms][Doctor] okay . all right . and any weakness in , in your legs ? [Patient] no , no weakness , just , just the weird numbing . like , it's , like , almost li... | [
"Discussion"
] | [
"Plan"
] | 3,629 |
[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] okay . and what could that mean ?[SEP][Discussion][Doctor] well , so just like people h... | [
"Discussion"
] | [
"Plan"
] | 3,630 |
[Acute Symptoms][Doctor] mm-hmm , okay . [Patient] um . i went back to sleep but for several nights this happened , like , over and over . so , i finally went to see the doctor , and i do n't really recall her name .[SEP][Acute Symptoms][Doctor] okay . yeah , i think i know who you're talking about , though . [Patient]... | [
"Acute Symptoms"
] | [
"Subjective"
] | 3,631 |
[Conversation Start][SEP] | [
"Acute Symptoms",
"Greetings"
] | [
"Subjective"
] | 3,632 |
[Physical Examination][Doctor] no , okay . so on exam you do have some tenderness over the medial portion of your knee over the medial meniscus area . uh , there is no , uh , there is a little bit of tenderness when i flex your , uh , when i , uh , uh , do some valgus stressing on your , on your leg . um , you have nor... | [
"Chitchat"
] | [
"Null"
] | 3,633 |
[Personal History][Therapeutic History][Doctor] okay , all right . well , i'm glad to hear that . and you're taking your medication ? [Patient] yes .[SEP][Personal History][Doctor] okay , good . and any symptoms like chest pains , shortness of breath , any swelling in your legs ? [Patient] no , not that i've noticed .[... | [
"Other Socials"
] | [
"Subjective"
] | 3,634 |
[Acute Symptoms][Doctor] okay , so it's your non-dominant hand ? [Patient] yeah , which is good .[SEP][Vegetative History][Doctor] okay , and any numbing or tingling in your hands at all ? [Patient] no , i have n't felt numbing or tingling .[SEP][Vegetative History][Doctor] and any weakness in your arm ? [Patient] a li... | [
"Personal History"
] | [
"Subjective"
] | 3,635 |
[Conversation Start][SEP][Acute Symptoms][Therapeutic History][Personal History][Other Socials][Family History][Greetings][Doctor] kayla ward , date of birth , 4/28/07 . mrn 3-8-4-9-2-0 . she's here for a new visit with her mother for acne located on the face , which started about two years ago and is present most ever... | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | 3,636 |
[Conversation Start][SEP][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][A... | [
"Acute Symptoms",
"Vegetative History"
] | [
"Subjective"
] | 3,637 |
[Greetings][Doctor] hi , hannah . how are you ? [Patient] good , how are you ?[SEP][Chitchat][Doctor] i'm good . you ready to get started ? [Patient] yes , i am .[SEP][Personal History][Doctor] so , hannah is a , uh , 52-year-old female here for evaluation of a high blood sugar . so , hannah , what ha- what happened ? ... | [
"Vegetative History"
] | [
"Subjective"
] | 3,638 |
[Acute Symptoms][Doctor] okay and any other joint problems like does your elbow hurt on that side or your wrist or is it just your shoulder [Patient] nope the the rest of it's doing okay it's just the just the shoulder[SEP][Personal History][Doctor] okay and any other orthopedic injuries in the past have you ever injur... | [
"Personal History"
] | [
"Subjective"
] | 3,639 |
[Discussion][Medication][Doctor] perfect . so , let me go grab your discount card for the unithroid . um , when you go in to activate it , the instructions are on this card , and then you use your insurance ... then , show them this , and ask how much it'll cost . if it's too expensive , just let me know . [Patient] i ... | [
"Discussion",
"Other Treatments"
] | [
"Plan"
] | 3,640 |
[Conversation Start][SEP][Greetings][Doctor] good morning carolyn how are you [Patient] i'm doing alright other than this ankle pain i've been having[SEP] | [
"Acute Symptoms"
] | [
"Subjective"
] | 3,641 |
[Personal History][Doctor] alright so looking here at your appointment notes it says you're you're here you think you have a kidney stone you had some in the past so we're gon na take a look at that and then you also have a past medical history of hypertension and diabetes we want to take a look at those as well so fir... | [
"Acute Symptoms"
] | [
"Subjective"
] | 3,642 |
[Acute Symptoms][Doctor] that is awesome great well that sounds like fun i hope you get to set it up just the way you you would like for your man cave to be so congratulations to you there so tell me have you experienced any kind of numbness in your arms or in your hands [Patient] no no numbness or tingling[SEP][Physic... | [
"Discussion"
] | [
"Plan"
] | 3,643 |
[Other Socials][Doctor] okay on your running days or when you do the running tell me a little bit about your stretching routine do you are you aggressive stretchers you do not stretch at all i know people that do both [Patient] yeah i do n't i do n't stretch at all i do n't have time for that[SEP][Other Socials][Doctor... | [
"Acute Symptoms"
] | [
"Subjective"
] | 3,644 |
[Physical Examination][Discussion][Medication][Other Treatments][Diagnostic Testing][Acute Assessment][Doctor] okay so bilateral maxillary sinus tenderness alright and i'm just gon na take a look at in your mouth if you can open up okay so i do see some do have some erythema of the pharynx and the tonsils are symmetric... | [
"Chitchat"
] | [
"Null"
] | 3,645 |
[Chitchat][Doctor] hmmm okay yeah yeah understood so those cadboy eggs they'll get you every time too right [Patient] yes[SEP][Therapeutic History][Doctor] boy my gosh yeah those are the best so those are those are deadly do n't tell my cardiologist so okay so listen you know i see that we have you on metformin five hu... | [
"Physical Examination"
] | [
"Objective"
] | 3,646 |
[Therapeutic History][Doctor] okay . and have you been having to use your albuterol inhaler at all ? [Patient] rarely , and if i do it's really just before a workout or something out that , if i know i'm really going to be pushing it .[SEP][Other Socials][Doctor] so it sounds like it's around strenuous activity . [Pati... | [
"Therapeutic History"
] | [
"Subjective"
] | 3,647 |
[Conversation Start][SEP] | [
"Greetings"
] | [
"Subjective"
] | 3,648 |
[Greetings][Doctor] good alright hello hannah how are you today [Patient] i'm doing well[SEP][Acute Symptoms][Doctor] you're doing well [Patient] i did have this this hacking cough for about three days now[SEP][Acute Symptoms][Doctor] okay tell me more about that cough [Patient] it started three days ago i was around m... | [
"Vegetative History"
] | [
"Subjective"
] | 3,649 |
[Chitchat][Doctor] uh , well you want me to write that down for you on your , uh , checkout sheet ? [Patient] uh , yeah . that'd be awesome .[SEP][Medication][Doctor] uh , the one i recommend for the chest and back is the , the PanOxyl 10 % . uh , we actually have samples of it and coupons . so i can send you home with... | [
"Physical Examination",
"Medication"
] | [
"Plan",
"Objective"
] | 3,650 |
[Acute Symptoms][Doctor] okay . and any surgeries in the past ? [Patient] yes , i had a lumbar fusion about six years ago .[SEP][Physical Examination][Acute Assessment][Radiology Examination][Doctor] all right . let's uh , let's look at your x-ray . hey dragon . show me the last radiograph . so this is looking at your ... | [
"Acute Symptoms"
] | [
"Subjective"
] | 3,651 |
[Vegetative History][Doctor] okay . all right . and any other symptoms like muscle aches , joint pain , fatigue ? [Patient] my elbows hurt quite a bit and my knees were pretty tired . l- like i said , i really felt some tension around my knees , but , uh , i think that was a lot to do with , uh , lifting the bags .[SEP... | [
"Therapeutic History"
] | [
"Subjective"
] | 3,652 |
[Conversation Start][SEP][Acute Symptoms][Personal History][Greetings][Doctor] patrick allen . date of birth : 7/7/1977 . new patient visit . past medical history includes gerd , anxiety , depression . here for chronic abdominal pain . he had an abdominal ct on 1/23/2020 . impression is a normal ct of the ab- abdomen .... | [
"Chitchat"
] | [
"Null"
] | 3,653 |
[Conversation Start][SEP][Greetings][Doctor] hi jerry , how are you doing ? [Patient] hi , good to see you .[SEP] | [
"Chitchat"
] | [
"Null"
] | 3,654 |
[Acute Symptoms][Vegetative History][Doctor] yeah , okay , all right . i understand . um , all right . well , i know that you did a review of system sheet when you checked in with the nurse . i know that you were endorsing some nasal congestion from some of the fall pollen and allergies . any other symptoms , nausea or... | [
"Lab Examination",
"Radiology Examination",
"Diagnostic Testing"
] | [
"Plan",
"Objective"
] | 3,655 |
[Physical Examination][Doctor] on your back exam , you do have some pain to palpation of the lumbar 5 or lumbar spine- [Patient] mm-hmm .[SEP][Physical Examination][Doctor] at the level of l5 . [Patient] okay .[SEP][Physical Examination][Acute Assessment][Doctor] you have , you know , decreased range of motion with fle... | [
"Follow-up",
"Medication",
"Referral",
"Diagnostic Testing"
] | [
"Plan"
] | 3,656 |
[Medication][Reassessment][Doctor] hey , dragon , order meloxicam 15 milligrams once a day . for your next problem , your type 2 diabetes , i would like to increase your metformin to 1,000 milligrams twice daily- [Patient] mm-hmm .[SEP][Follow-up][Diagnostic Testing][Doctor] . and i wan na go ahead and order another he... | [
"Chitchat",
"Discussion"
] | [
"Plan",
"Null"
] | 3,657 |
[Acute Symptoms][Physical Examination][Doctor] very interesting . let me check it out . um , so does it hurt when i push right here ? [Patient] yes .[SEP][Acute Symptoms][Physical Examination][Doctor] and does that hurt ? [Patient] very much so .[SEP][Acute Symptoms][Physical Examination][Doctor] what about down here ?... | [
"Discussion",
"Personal History"
] | [
"Plan",
"Subjective"
] | 3,658 |
[Acute Symptoms][Physical Examination][Doctor] and does that hurt ? [Patient] very much so .[SEP][Acute Symptoms][Physical Examination][Doctor] what about down here ? [Patient] no .[SEP][Discussion][Acute Assessment][Medication][Doctor] okay . so generally , your exam is normal other than you've got tenderness over you... | [
"Therapeutic History",
"Discussion",
"Chitchat"
] | [
"Plan",
"Null",
"Subjective"
] | 3,659 |
[Acute Symptoms][Vegetative History][Doctor] okay . all right . uh , well , sounds like we just did the review of systems with you . it sounds like you're endorsing this , you know , nausea , vomiting , abdominal distension . um , any other symptoms ? [Patient] no .[SEP][Physical Examination][Doctor] no ? okay . all ri... | [
"Follow-up",
"Diagnostic Testing",
"Acute Assessment"
] | [
"Assessment",
"Plan"
] | 3,660 |
[Acute Symptoms][Doctor] okay , and do you get any numbing or tingling down your legs or any pain down leg versus the other ? [Patient] a little bit of numbing , but nothing tingling or hurting down my legs .[SEP][Acute Symptoms][Doctor] okay , and does the , um , do those symptoms improve when you stand up or change p... | [
"Physical Examination",
"Lab Examination",
"Radiology Examination",
"Referral",
"Reassessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,661 |
[Acute Symptoms][Vegetative History][Doctor] okay , all right . um , okay . well , i know that the nurse did a review of system sheet when you came in . and we've just talked a lot about your , your s- your symptoms , you know , your dizziness , your fatigue and that type of thing . anything else that i might have miss... | [
"Lab Examination",
"Radiology Examination",
"Diagnostic Testing",
"Acute Assessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,662 |
[Acute Symptoms][Doctor] multiple joints , or just one joint ? [Patient] uh , my knee . uh , sorry , right knee to be more exact .[SEP][Acute Symptoms][Doctor] your right knee ? [Patient] yeah .[SEP][Personal History][Doctor] okay . and what happened ? [Patient] ah , to be honest , nothing much . i just noticed it when... | [
"Personal History",
"Therapeutic History",
"Vegetative History"
] | [
"Subjective"
] | 3,663 |
[Acute Symptoms][Personal History][Vegetative History][Doctor] okay , all right . and i know you have this history of congestive heart failure . have you noticed any recent , uh , weight gain or fluid retention ? [Patient] um , not really .[SEP][Acute Symptoms][Vegetative History][Doctor] no ? okay . um , and any probl... | [
"Medication",
"Lab Examination",
"Acute Assessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,664 |
[Personal History][Doctor] okay . all right . and in terms of your high blood pressure , do you know when you had the chest pain if your blood pressure was very high ? did they say anything in the emergency room ? [Patient] um , they were a little concerned about it , but , uh , they kept me there for a few hours and i... | [
"Medication",
"Diagnostic Testing",
"Acute Assessment"
] | [
"Assessment",
"Plan"
] | 3,665 |
[Lab Examination][Doctor] okay , all right , so it might just be from that . okay , well let's look at some of your results . hey , dragon , show me the glucose . okay , so yeah , you know i know that they just checked your blood sugar now and it was 162 and you know , what ... you know , did you eat before this ? [Pat... | [
"Reassessment",
"Discussion",
"Referral"
] | [
"Assessment",
"Plan"
] | 3,666 |
[Physical Examination][Doctor] . exam . hey , dragon , show me the blood pressure . so , here , your blood pressure is a little high . [Patient] mm-hmm .[SEP][Physical Examination][Doctor] um , so , you know , i did see a report in the emergency room that your blood pressure was high there as well . [Patient] mm-hmm .[... | [
"Reassessment",
"Radiology Examination"
] | [
"Assessment",
"Objective"
] | 3,667 |
[Physical Examination][Doctor] hey , dragon ? show me the blood pressure . yeah , so , your blood pressure's a little elevated today , 156 over 94 . [Patient] okay .[SEP][Physical Examination][Doctor] you know , you could be a little happy to see me . i do n't know . um , but let's look at some of the readings . hey , ... | [
"Physical Examination",
"Discussion"
] | [
"Plan",
"Objective"
] | 3,668 |
[Physical Examination][Discussion][Doctor] so , that seems stable to me . um , on your lung exam , everything sounds nice and clear , and on your lower extremity exam , i do appreciate , you know , 1 to 2+ pitting edema in your legs , okay ? so , we'll have to just talk a little bit about your diet and decreasing the s... | [
"Referral",
"Diagnostic Testing",
"Reassessment"
] | [
"Assessment",
"Plan"
] | 3,669 |
[Personal History][Therapeutic History][Doctor] okay . and you take uh- uh , fluocinonide for that ? [Patient] yes , when it gets really itchy , i'll- i'll use that and it usually takes care of it .[SEP][Personal History][Doctor] okay . and , it looks like you have a pre- previous surgical history of a colectomy ? what... | [
"Medication",
"Radiology Examination",
"Acute Assessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,670 |
[Physical Examination][Doctor] all right . are you able to straighten your arm ? [Patient] yeah , i can just straighten the elbow as long as i do n't move up here .[SEP][Acute Symptoms][Doctor] as long as you do n't move your shoulder . [Patient] yeah .[SEP][Physical Examination][Acute Assessment][Doctor] go ahead and ... | [
"Acute Symptoms",
"Acute Assessment"
] | [
"Assessment",
"Subjective"
] | 3,671 |
[Physical Examination][Doctor] okay . can you flex it or can you bend it ? [Patient] it hurts when i do that , yeah .[SEP][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 Examinat... | [
"Physical Examination",
"Radiology Examination",
"Acute Assessment",
"Discussion",
"Medication",
"Other Treatments"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,672 |
[Personal History][Doctor] okay . all right . um , well , how are you doing in terms of your knee replacement . i know you had that done last year . that's going okay ? [Patient] mm , it seems okay . yeah .[SEP][Personal History][Doctor] okay . you're walking around without a problem ? [Patient] yup , yup . just not go... | [
"Reassessment",
"Radiology Examination",
"Lab Examination",
"Medication"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,673 |
[Personal History][Doctor] all right .um , and i know a few years ago , you had , had that scare with the possible lung cancer , but then they did the biopsy and , and you've been fine . [Patient] yup , yup . all good .[SEP][Personal History][Doctor] turned out to be benign . [Patient] yup .[SEP][Physical Examination][... | [
"Other Treatments",
"Medication",
"Drug History"
] | [
"Plan",
"Subjective"
] | 3,674 |
[Conversation Start][SEP] | [
"Personal History",
"Greetings",
"Radiology Examination"
] | [
"Subjective",
"Objective"
] | 3,675 |
[Physical Examination][Doctor] all right , well , i'm gon na scoot up closer and just take a quick look at your hand . all right , so , lean over here . all right , so on this exam today , we have a very pleasant , cooperative , healthy male , no distress . his heart rate is regular rate , rhythm , 2+ radial pulse , no... | [
"Discussion",
"Acute Assessment",
"Other Treatments"
] | [
"Assessment",
"Plan"
] | 3,676 |
[Discussion][Medication][Doctor] did it ? yeah , this one is water-soluble , and i think it's fairly low toxicity , but high benefit , and i think decreasing the pain will encourage you to move that finger . [Patient] all right , we'll give it a try .[SEP][Discussion][Medication][Doctor] good . so , you do the shot , a... | [
"Discussion",
"Acute Assessment",
"Referral",
"Medication"
] | [
"Assessment",
"Plan"
] | 3,677 |
[Conversation Start][SEP] | [
"Acute Symptoms",
"Personal History",
"Therapeutic History",
"Lab Examination"
] | [
"Subjective",
"Objective"
] | 3,678 |
[Physical Examination][Doctor] all right , everything sounds good , no concerns there . [Patient] great . so i wanted to show you something .[SEP][Lab Examination][Doctor] okay , this is your cholesterol ? [Patient] yeah , my cholesterol and triglycerides . uh , i used to have high triglycerides , you see they were 265... | [
"Discussion",
"Lab Examination"
] | [
"Plan",
"Objective"
] | 3,679 |
[Follow-up][Doctor] perfect ! we will give you a reminder as well . we will also need to complete a pre-op check within two weeks of your surgery during the first or second week of june . [Patient] okay , i'll put that down .[SEP][Diagnostic Testing][Doctor] you might also have to repeat an ekg before surgery which we ... | [
"Discussion",
"Diagnostic Testing",
"Referral",
"Other Treatments"
] | [
"Plan"
] | 3,680 |
[Discussion][Diagnostic Testing][Doctor] um i can put it in right now for , uh , for county for the next 30 days , and they might be able to get you in within the next few weeks . it should not take , it should not make you ineligible for the surgery . in other words completing a colonoscopy would not delay your surger... | [
"Family History",
"Medication",
"Diagnostic Testing",
"Reassessment"
] | [
"Assessment",
"Plan",
"Subjective"
] | 3,681 |
[Radiology Examination][Acute Assessment][Doctor] okay . all right . so , i do agree with betty . uh , more than likely , this seems like it would be coming from your neck . that's the most common reason that causes what , what you're experiencing . and i looked at an x-ray of your neck , and you do seem to have a lot ... | [
"Discussion",
"Medication",
"Diagnostic Testing",
"Follow-up"
] | [
"Plan"
] | 3,682 |
[Discussion][Doctor] okay . all right . well , do you want to do that work-up and do the epidural , or do you think you're doing fine and you want to wait ? [Patient] well , my hand is still bothering me .[SEP][Discussion][Medication][Diagnostic Testing][Doctor] okay . so , you're saying your neck is not bothering you ... | [
"Acute Symptoms",
"Physical Examination",
"Personal History",
"Therapeutic History",
"Medication",
"Follow-up",
"Diagnostic Testing",
"Other Treatments"
] | [
"Plan",
"Subjective",
"Objective"
] | 3,683 |
[Personal History][Doctor] and did you have a vasectomy ? [Patient] no . let me pull my notes out and make sure i mentioned everything i wanted to tell you . those were the only things and it's not like my tiredness is depression or anything . i'm a pretty happy guy overall , you know ? i just know you would ask those ... | [
"Physical Examination",
"Diagnostic Testing",
"Acute Assessment",
"Referral"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,684 |
[Therapeutic History][Personal History][Doctor] have you had a covid-19 shot yet ? [Patient] i've received both . my first dose on january 15th , '21 and my second on february 5th , '21 .[SEP][Physical Examination][Diagnostic Testing][Acute Assessment][Referral][Doctor] good . if you'd hop up here on the table , we're ... | [
"Discussion",
"Diagnostic Testing",
"Follow-up",
"Medication"
] | [
"Plan"
] | 3,685 |
[Physical Examination][Diagnostic Testing][Acute Assessment][Referral][Doctor] good . if you'd hop up here on the table , we're just going to do a physical exam . well , mr. walker , overall you're doing well . i'm going to order an echocardiogram and a stress test . i also recommend that you follow up with cardiology ... | [
"Diagnostic Testing",
"Follow-up",
"Medication"
] | [
"Plan"
] | 3,686 |
[Lab Examination][Doctor] also your recent labs showed an elevated alkaline phosphatase level at 156 . now this could be related to your liver but most likely related to your bone health . we're going to check a few labs today . [Patient] you're going to have them done today ?[SEP][Discussion][Diagnostic Testing][Docto... | [
"Reassessment",
"Physical Examination",
"Diagnostic Testing",
"Follow-up",
"Personal History",
"Referral",
"Medication"
] | [
"Assessment",
"Plan",
"Subjective",
"Objective"
] | 3,687 |
[Vegetative History][Doctor] okay and have you ever been a smoker ? [Patient] yeah , i still smoke from time to time . i started that awful habit in my teens and it's hard to break , but i'm trying .[SEP][Personal History][Doctor] i'm glad you're trying to quit . uh , what about your surgical history , have you had any... | [
"Physical Examination",
"Diagnostic Testing"
] | [
"Plan",
"Objective"
] | 3,688 |
[Other Treatments][Doctor] so assuming that the ultrasound is normal , the treatment for you melanoma is to cut out the area where the lesion was . with lesions that are 0.7 millimeters or less , um , and that's what we recommend , and yours was exactly 0.7 millimeters . if it were any bigger , we would have had to do ... | [
"Physical Examination",
"Diagnostic Testing",
"Acute Assessment",
"Other Treatments"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,689 |
[Acute Symptoms][Doctor] okay . and are you experiencing fever or chills ? [Patient] no .[SEP][Acute Symptoms][Doctor] okay . and any tingling or numbness ? [Patient] no .[SEP][Vegetative History][Doctor] and have you had any problems with your bowel or bladder ? [Patient] no .[SEP][Acute Symptoms][Doctor] okay . and i... | [
"Family History",
"Personal History",
"Therapeutic History"
] | [
"Subjective"
] | 3,690 |
[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 take nsaids as needed to help with the pain and discomfort , as well as use of a cane to help offload the right side . a cane will help support ... | [
"Radiology Examination",
"Physical Examination",
"Medication",
"Discussion",
"Follow-up"
] | [
"Plan",
"Objective"
] | 3,691 |
[Physical Examination][Doctor] okay okay good good you know it's hard to stay away from the sugary foods sometimes i i enjoy ice cream regularly okay so let's do physical exam as long as you are here so i'm just gon na listen to your heart your heart sounds normal no murmurs or gallops listen to your lungs quick if you... | [
"Medication",
"Therapeutic History",
"Diagnostic Testing",
"Reassessment"
] | [
"Assessment",
"Plan",
"Subjective"
] | 3,692 |
[Acute Symptoms][Doctor] okay did you try icing it at all [Patient] i iced it initially but i have n't iced it at all recently[SEP][Physical Examination][Doctor] alright and so with your shoulder have you experienced any numbness in your arm or in your fingers [Patient] no numbness or tingling[SEP][Physical Examination... | [
"Discussion",
"Diagnostic Testing",
"Acute Assessment",
"Referral",
"Radiology Examination"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,693 |
[Personal History][Doctor] yeah yeah you really need to take them very consistently now you also said you were watching your diet did you did you have some slips with that you said your ankles were swelling [Patient] no i yeah i do i like to i like to eat[SEP][Vegetative History][Doctor] are you eating a lot of salty f... | [
"Other Treatments",
"Vegetative History"
] | [
"Plan",
"Subjective"
] | 3,694 |
[Other Treatments][Doctor] okay and you might even just keep a log of what your blood pressures are and when it's up think about you know what you've eaten if you've done something different because that may help you to figure out what you need to cut back on or how you might need to change your your eating habits a li... | [
"Physical Examination",
"Follow-up",
"Medication",
"Other Treatments",
"Radiology Examination",
"Reassessment",
"Acute Assessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,695 |
[Other Treatments][Doctor] okay and you might even just keep a log of what your blood pressures are and when it's up think about you know what you've eaten if you've done something different because that may help you to figure out what you need to cut back on or how you might need to change your your eating habits a li... | [
"Follow-up",
"Medication",
"Other Treatments",
"Diagnostic Testing",
"Reassessment"
] | [
"Assessment",
"Plan"
] | 3,696 |
[Physical Examination][Doctor] you seem a little bit weaker on that left hand is that what you've noticed [Patient] yeah i i i experienced some weakness in my left hand[SEP][Physical Examination][Doctor] okay do you you find that you're dropping things when you're picking it up is it to that level or [Patient] yeah i d... | [
"Physical Examination",
"Discussion",
"Diagnostic Testing",
"Acute Assessment",
"Other Treatments"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,697 |
[Physical Examination][Doctor] okay do you you find that you're dropping things when you're picking it up is it to that level or [Patient] yeah i drop things mostly because i have a hard time feeling it[SEP][Physical Examination][Doctor] okay okay good and so you you do have a a grip strength is less on the left and i ... | [
"Discussion",
"Diagnostic Testing",
"Follow-up",
"Other Treatments",
"Medication"
] | [
"Plan"
] | 3,698 |
[Conversation Start][SEP][Personal History][Greetings][Doctor] hey bruce so see here my my notes here is you here he had positive lab work for hep c so how're you doing today [Patient] i'm doing okay but i'm a little bit anxious about having hep c i've really surprised because i've been feeling fine they had done it as... | [
"Other Socials",
"Drug History",
"Drug History"
] | [
"Subjective"
] | 3,699 |
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