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[Drug History][Drug History][Doctor] so what about alcohol use is that something that you used to do a lot [Patient] i did i did i mean i i still have a beer here and there everyday but not as much as i used to[SEP][Drug History][Doctor] okay and have you ever smoked before [Patient] i do smoke i smoke about one to two... | [
"Physical Examination",
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"Acute Assessment",
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"Assessment",
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] | 3,700 |
[Acute Symptoms][Doctor] okay do you have any swelling in your lower extremities at all that you noticed [Patient] not if i'm on my feet for a long time i'll notice a little bit of swelling but otherwise no[SEP][Family History][Doctor] okay and then a couple other family history questions anybody in the family have kid... | [
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"Assessment",
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[Personal History][Doctor] okay the headache has has maybe made you feel uncomfortable and prevented your your exercise would you say or what [Patient] yes it has[SEP][Other Socials][Doctor] okay okay so you probably have n't been out golfing i remember you're a big golfer so not not lately uh so you know being [Patien... | [
"Physical Examination",
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"Assessment",
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[Other Socials][Doctor] okay okay so you probably have n't been out golfing i remember you're a big golfer so not not lately uh so you know being [Patient] not lately[SEP][Other Socials][Doctor] being down being down here in florida we got ta get get some golf in so hey did you see the masters by the way a few weeks ag... | [
"Discussion",
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"Plan",
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[Chitchat][Doctor] hey that's great and that's great to hear congratulations i'm so excited to hear about the new baby [Patient] yeah[SEP][Chitchat][Doctor] i i have a daughter myself have have you picked out any names [Patient] we're you know we're deciding between a few names but we're kinda just waiting to see her t... | [
"Discussion",
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"Plan",
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[Drug History][Doctor] so you mentioned you tried to quit before can you tell me a little bit about the methods that you used or or what you tried [Patient] yeah actually i just went cold turkey one day i woke up and i said you know i've had enough and i know that smoking is not good for me so i woke up and stopped and... | [
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"Assessment",
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[Chitchat][Doctor] yeah you know what that's that's i am a biker and i know that once you get that into your you know you have loved doing that activity it's so frustrating when you ca n't it's almost like a it's almost like a dry it almost becomes a drug when you get up [Patient] exactly[SEP][Acute Symptoms][Doctor] o... | [
"Physical Examination",
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"Assessment",
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[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 gynecological cancers [Patient] i was adopted[SEP][Physical Examination][Doctor] okay okay so i'm jus... | [
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"Assessment",
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[Acute Symptoms][Doctor] okay alright any loss in sensation [Patient] no i mean i i can still feel like i can still feel my foot[SEP][Other Socials][Doctor] okay alright that's good to hear so you were playing tennis is that what you normally do to work out [Patient] i do i'm trying to learn but i can not afford tennis... | [
"Physical Examination",
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"Assessment",
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[Acute Symptoms][Doctor] okay so have you noticed any nausea chills fever [Patient] no fever some chills and i i just in so much pain i i ca n't eat and i do feel a little nauseous[SEP][Acute Symptoms][Therapeutic History][Doctor] okay that sound definitely understandable so you've been in a lot of pain so have you tri... | [
"Therapeutic History",
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"Assessment",
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[Acute Symptoms][Physical Examination][Doctor] that that that that's really good alright so let me do a quick physical exam on you just a couple of questions before i take a look at your your abdomen and and your back talked to take a look at that that kidney stones you're having so i just want to make sure are you hav... | [
"Reassessment",
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[Personal History][Doctor] mm-hmm [Patient] and i've been straining my urine and you know i do n't see anything in there[SEP][Vegetative History][Doctor] okay have you noticed any blood in your urine i know you've been draining probably take a good look at it has it been darker than usual [Patient] no not really not re... | [
"Follow-up",
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"Assessment",
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[Acute Symptoms][Doctor] okay and you said you're active you're out in the yard and things like that do you go on long walks at all or no [Patient] no no you know it's you know i just kinda feel like i've been just trying to take it easy lately[SEP][Acute Symptoms][Doctor] mm-hmm [Patient] but yeah most most of the stu... | [
"Discussion",
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"Assessment",
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[Therapeutic History][Personal History][Doctor] okay alright so we talked a little bit about your diabetes let's talk about your heart disease now your heart disease you had a heart attack in twenty eighteen we put a stent into your right coronary artery you're still taking your medications for that you're still on you... | [
"Reassessment",
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"Assessment",
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[Family History][Doctor] little nauseated yeah that's we expected so have you do you have a family history of kidney stones i know some people when they have them like their parents have them stuff but [Patient] yeah my my dad had kidney stones i think he has passed a couple of them i'm not quite sure[SEP][Personal His... | [
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"Assessment",
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[Personal History][Doctor] alright and have you had any in the past or is this your first one [Patient] this is my first time i've never had this before[SEP][Personal History][Doctor] okay alright so we'll do we'll do an exam on you just to check you out so i guess you were in pain and stuff over the over the easter ea... | [
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[Therapeutic History][Doctor] okay have you taken any medications safe for example tylenol or ibuprofen for the pain [Patient] no i feel like taking the medicine[SEP][Chitchat][Doctor] okay and then just out of curiosity you said you were doing some landscaping have you been over to landscapes warehouse new here in tow... | [
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"Assessment",
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[Family History][Doctor] okay yeah so like that your brother does n't either [Patient] no i'm the only one who seems to be getting sick[SEP][Family History][Doctor] alright so i know you said you were trying to like help out your brother like what's going on with him [Patient] you know we've just been getting really bu... | [
"Personal History",
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"Subjective"
] | 3,717 |
[Chitchat][Doctor] maybe maybe we could we could always stick them in they could get some work done the holidays must be fun at your place [Patient] yeah we do n't need to hire any i mean have anyone else this is our family[SEP][Personal History][Family History][Doctor] you're right keep it in the family okay so speaki... | [
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[Physical Examination][Doctor] if i go a little bit further to twenty degrees does that hurt [Patient] that hurts more yeah[SEP][Physical Examination][Doctor] okay if i push in on your big toe and move it back and forth does that hurt [Patient] yes it does and it it's almost like those joints that when you push it back... | [
"Acute Symptoms",
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"Subjective",
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[Acute Symptoms][Radiology Examination][Doctor] okay and i'm feeling a little bit of bone spur here as well let me let me get an x-ray [Patient] okay[SEP][Chitchat][Doctor] and after we take a peek at that we'll develop a plan [Patient] okay[SEP][Chitchat][Doctor] so at this point what would i do if i'm going out of th... | [
"Discussion",
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"Assessment",
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[Personal History][Doctor] okay well very good i'm glad you're doing that good for you russell and and then please keep that up now tell me are you watching your salt intake and trying to change your diet [Patient] yeah so when i was in the hospital they said something about my way my heart pumps now[SEP][Vegetative Hi... | [
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"Assessment",
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[Physical Examination][Doctor] and i'm gon na look in your mouth too [Patient] okay[SEP][Acute Assessment][Doctor] and throat looks fine no tonsils [Patient] mm-hmm[SEP][Physical Examination][Doctor] lem me go ahead and have you lay back on the table and i'll take a listen to your stomach [Patient] okay[SEP][Physical E... | [
"Follow-up",
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"Plan"
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[Physical Examination][Doctor] everything sounds okay i'm gon na feel around just to make sure everything feels normal [Patient] mm-hmm[SEP][Physical Examination][Doctor] everything feels fine and i'm gon na check reflexes and they're all normal [Patient] awesome[SEP][Follow-up][Other Treatments][Medication][Doctor] it... | [
"Diagnostic Testing",
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"Plan"
] | 3,723 |
[Acute Symptoms][Doctor] okay and then with your ibuprofen can you tell me what your pain level is [Patient] like a seven eight[SEP][Other Socials][Doctor] okay so how long have you been playing soccer [Patient] really since i was like four five i've been playing a long time[SEP][Chitchat][Doctor] well that's cool yeah... | [
"Physical Examination",
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"Assessment",
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[Physical Examination][Doctor] okay great and since this i'm the reason i'm asking all these questions i'm a little concerned about the inactivity with your your knee pain and you know how diabetes you need to be very you know active and and taking your medicine to keep that under control so you know may wan na continu... | [
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[Vegetative History][Doctor] yeah absolutely i can see how that would that would increase your stress but like with that have you lost any weight because of your symptoms [Patient] no i wish unfortunately i've gained some weight[SEP][Vegetative History][Doctor] okay and do you have any other symptoms like abdominal pai... | [
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[Acute Symptoms][Doctor] okay so let's talk real quick about your pain level zero being none ten being the worst pain you've been in in your life without any medication on board can you rate your pain for me [Patient] i would say it's about an eight[SEP][Acute Symptoms][Doctor] okay and then when you do take that ibupr... | [
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"Radiology Examination",
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"Assessment",
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[Personal History][Doctor] okay alright so i just want to know i know some of my patients they have like bad ankles where they hurt the ankles all the time but have you ever injured this ankle before [Patient] so you know in high school i used to play a lot of soccer but and and like i had other injuries but i've never... | [
"Physical Examination",
"Personal History",
"Radiology Examination",
"Acute Assessment"
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"Assessment",
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"Objective"
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[Acute Symptoms][Therapeutic History][Doctor] okay have you had any any have you tried anything for pain for this have you tried any any medications at all [Patient] i've had ibuprofen it it helped some[SEP][Personal History][Doctor] okay got it alright well i'll i'll examine you in a second but before we do that let's... | [
"Other Treatments",
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] | [
"Plan"
] | 3,729 |
[Personal History][Doctor] okay is that new or is that been going on for a while [Patient] well it it started maybe i do n't know a month or two after i started the norvasc[SEP][Personal History][Doctor] yeah i mean certainly it could be it is you know sometimes that medication can cause that so i'll i'll examine you i... | [
"Physical Examination",
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"Assessment",
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[Physical Examination][Doctor] okay alright on your skin exam i do appreciate some mild swelling and bruising that's really interesting since it's been two weeks with your knee are you able to bend it [Patient] yes[SEP][Physical Examination][Doctor] okay and then when you walked in on your gait i think i think i did ap... | [
"Physical Examination",
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"Diagnostic Testing",
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"Assessment",
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[Physical Examination][Doctor] all right , how about if i twist it a little bit that way . [Patient] that hurts a lot .[SEP][Physical Examination][Doctor] okay , okay . and how about down here ? do you feel me touch you down here ? [Patient] yes .[SEP][Physical Examination][Doctor] all right . any other pain down here ... | [
"Follow-up",
"Other Treatments",
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] | [
"Assessment",
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[Physical Examination][Doctor] so that sounds stable to me . on your back exam , you know , you do have some pain to palpation of the lumbar spine . and you have pain with flexion and extension of the back . and you have a negative straight leg raise , which is which is good . so , let's- let's just look at some of you... | [
"Referral",
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"Plan"
] | 3,733 |
[Physical Examination][Doctor] okay . let's do your exam . uh , so , it's this finger right here . and does it hurt here on your , on this joint up here ? [Patient] no .[SEP][Physical Examination][Doctor] okay . and how'bout right there ? no ? [Patient] no .[SEP][Physical Examination][Doctor] right here ? [Patient] tha... | [
"Physical Examination",
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"Medication",
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"Assessment",
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[Discussion][Diagnostic Testing][Doctor] yeah . unfortunately our cameras do not meet all the way in the middle , so if those tests back , come , if those tests come back fine , then we'll have you swallow a pill camera to take pictures as it moves through your , uh , system . [Patient] okay .[SEP][Discussion][Referral... | [
"Follow-up",
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"Plan"
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[Discussion][Referral][Medication][Doctor] we may not need to , but it's just the first thing we can do to make sure that you're not losing blood . um , the second thing we can do is have you see a hematologist . they will tell us if you need to give any , to give you any intravenous iron , or maybe something to help y... | [
"Discussion",
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"Plan"
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[Personal History][Doctor] um , have you ever had any issue with sedation in the past ? [Patient] no , i was just sleepy afterwards .[SEP][Medication][Diagnostic Testing][Doctor] okay . well we will give you a bowel prep to clean out your bowels ahead of time . um , if we do these tests and they are normal , like i sai... | [
"Personal History",
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"Plan",
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[Therapeutic History][Personal History][Doctor] okay . let's see , do you have any other medical problems that you take medicine for ? [Patient] no i do n't have any medical problems and i do n't take any medicines . i tried tylenol a few times for the headaches but it did n't work , so i stopped .[SEP][Family History]... | [
"Physical Examination",
"Diagnostic Testing",
"Acute Assessment",
"Radiology Examination"
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"Assessment",
"Plan",
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[Other Socials][Doctor] okay . um , what kind of work do you do ? and are you married ? [Patient] i work as a computer programmer and i've been married for 25 years . we just bought a small house .[SEP][Drug History][Doctor] that's nice . um , do you drink any alcohol , smoke , or use recreational drugs ? [Patient] nop... | [
"Diagnostic Testing",
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"Plan"
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[Acute Assessment][Doctor] so let's talk about your symptoms real quick . obviously , with the chest discomfort , we worry about heart issues , but i'm reassured that those were ruled out with all the testing they did in the er . um , other potential causes could be anxiety , esophagitis , which is irritation of the es... | [
"Personal History",
"Acute Assessment",
"Discussion"
] | [
"Assessment",
"Plan",
"Subjective"
] | 3,740 |
[Physical Examination][Doctor] all right . please use my physical exam template . um , i wan na take a quick listen to her heart and lungs . i'll look in her ears too . and she can sit , she can just sit on your lap . [Patient Guest] okay .[SEP][Chitchat][Doctor] all right . that's it . [Patient Guest] all right , that... | [
"Physical Examination",
"Acute Assessment",
"Follow-up"
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"Assessment",
"Plan",
"Objective"
] | 3,741 |
[Acute Symptoms][Therapeutic History][Doctor] okay so so far have you taken anything for the pain [Patient] just taking some ibuprofen just for some swelling[SEP][Acute Symptoms][Doctor] okay that's it what would you say your pain score is a out of ten with ten being the worst pain you ever felt [Patient] i would say t... | [
"Physical Examination",
"Other Treatments"
] | [
"Plan",
"Objective"
] | 3,742 |
[Vegetative History][Doctor] no shortness of breath just wan na make sure [Patient] no[SEP][Physical Examination][Doctor] okay so i'm just gon na listen to your lungs here your lungs are clear bilaterally i do n't hear any wheezes or crackles listen to your heart so on your heart exam i do still hear that grade two out... | [
"Physical Examination",
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"Reassessment",
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"Assessment",
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[Acute Symptoms][Therapeutic History][Doctor] alright and and did that help [Patient] it does take the edge off but i still have some pain[SEP][Other Socials][Doctor] okay well i'm sorry to hear that you know you know renovating the basement it can be quite a task and it can take a toll on you [Patient] yeah i mean it'... | [
"Physical Examination",
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"Diagnostic Testing",
"Acute Assessment"
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"Assessment",
"Plan",
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[Therapeutic History][Doctor] and are you taking your metformin [Patient] yes yes that's along with the blood pressure medicine morning and night[SEP][Vegetative History][Doctor] okay alright so are you are you eating like late at night or anything like that [Patient] no we usually eat by six[SEP][Physical Examination]... | [
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"Assessment",
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[Vegetative History][Doctor] okay and when you mention drinking and eating is do you feel like anything is getting stuck there [Patient] no i do n't feel like anything is getting stuck right now and i have n't been i have been eating but not as much as i normally would[SEP][Other Socials][Doctor] okay okay alright and ... | [
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"Assessment",
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[Personal History][Doctor] yeah i do you know why she checked these levels in the first place that you've been having problems getting frequent infections [Patient] yeah yeah i had a recent physical and she did this as part of her my physical i do tend to get infections but i do n't know i i'm so used to it so i do n't... | [
"Family History",
"Other Socials"
] | [
"Subjective"
] | 3,747 |
[Discussion][Doctor] but you know everything in moderation i mean just you know you just need to be careful you ca n't does n't have to go away [Patient] right[SEP][Personal History][Doctor] but have you ever needed to receive a blood transfusion or blood products [Patient] no i actually tried to give blood but they i ... | [
"Physical Examination",
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"Assessment",
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[Personal History][Doctor] sure yeah okay so you're taking your meds mostly we talked about getting you a blood pressure cuff at home did you end up getting one of those [Patient] no i have n't got one yet i know i needed to get one[SEP][Vegetative History][Doctor] yeah that's that will be good if you can take your blo... | [
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"Assessment",
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[Acute Symptoms][Therapeutic History][Doctor] okay and what have you taken for the pain [Patient] i have taken some tylenol but it has n't really helped[SEP][Vegetative History][Doctor] okay and do you have any nausea vomiting any fever chills [Patient] i feel nauseated but i'm not vomiting[SEP][Family History][Doctor]... | [
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"Assessment",
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[Acute Symptoms][Doctor] okay and you mentioned that it had some stinging and it was a bit uncomfortable are you experiencing any pain right now [Patient] yeah it was it was stinging initially like i had just done something small but at this point it's it's really like throbbing it's almost like there is a fire poker i... | [
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"Assessment",
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[Personal History][Doctor] okay and do you do you know on average how they're running are they running below like one fifty or [Patient] yeah it's definitely running below that[SEP][Personal History][Doctor] okay your blood sugars are running below [Patient] it's it's probably with with with the metformin it seems to b... | [
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"Assessment",
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[Vegetative History][Doctor] and you were endorsing that insomnia . any other issues , chest pain , shortness of breath , anything ? [Patient] no .[SEP][Physical Examination][Doctor] all right . well lets go ahead and do a quick physical exam . [Patient] mm-hmm .[SEP][Physical Examination][Doctor] hey dragon , show me ... | [
"Discussion",
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"Assessment",
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[Physical Examination][Doctor] all right . well lets go ahead and do a quick physical exam . [Patient] mm-hmm .[SEP][Physical Examination][Doctor] hey dragon , show me the vital signs . so your vital signs here in the office they look really good . i'm just going to listen to your heart and lungs and let you know what ... | [
"Discussion",
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[Physical Examination][Doctor] okay . let's go ahead . i want to move on to a physical exam . [Patient] mm-hmm .[SEP][Physical Examination][Doctor] hey , dragon ? show me the vital signs . so here in the office , you know , your vital signs look good . your , your pulse ox ... that's your oxygenation level ... looks go... | [
"Medication",
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"Acute Assessment"
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"Assessment",
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[Personal History][Doctor] good for you . um ... have you ever had any surgeries before ? [Patient] yes , i had my appendix out when i was seven .[SEP][Physical Examination][Radiology Examination][Doctor] okay . um , let's look at your x-ray together . hey , dragon , show me the last x-ray . all right . so looking at y... | [
"Discussion",
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"Assessment",
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[Vegetative History][Doctor] okay . wonderful . okay . so i know you did a review of systems sheet with the nurse , and i know you endorse , you know , this back pain . um , do you have any other symptoms ? fever , chills , congestion , cough , chest pain , shortness of breath ? [Patient] i have a little bit of nasal c... | [
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[Physical Examination][Doctor] do n't forget to breathe little one . okay . let's try the front too . [Patient Guest] yeah , it's okay buddy .[SEP][Physical Examination][Doctor] excellent . he's doing excellent . next let's- let's check out those ears . [Patient Guest] okay .[SEP][Physical Examination][Doctor] let's tr... | [
"Acute Assessment",
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"Assessment",
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[Conversation Start][SEP] | [
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"Subjective"
] | 3,759 |
[Personal History][Doctor] okay . perfect . let me just get logged in , here . have you met with anyone before about a breast reduction ? [Patient] no , i have n't .[SEP][Personal History][Doctor] okay . and how long have you been considering this ? [Patient] it's probably been about six or seven years . but i mean , i... | [
"Discussion",
"Other Socials"
] | [
"Plan",
"Subjective"
] | 3,760 |
[Conversation Start][SEP] | [
"Physical Examination",
"Personal History",
"Greetings",
"Lab Examination"
] | [
"Subjective",
"Objective"
] | 3,761 |
[Discussion][Other Treatments][Doctor] that would be 125 ounces of water a day and you should avoid drinking sugary drinks like mountain dew . [Patient] okay . is there any food i should n't eat ?[SEP][Discussion][Other Treatments][Doctor] great question . you should avoid food rich in sodium oxalate and animal protein... | [
"Physical Examination",
"Acute Assessment",
"Reassessment"
] | [
"Assessment",
"Objective"
] | 3,762 |
[Physical Examination][Doctor] yeah , it does sounds kind of weird , right ? it's when your heart does n't beat with the correct rhythm , and whatever rhythm it does n't have a pattern to it . so , it's part of the atrial fibrillation . [Patient] wow , that sounds like a mess .[SEP][Physical Examination][Doctor] yeah ,... | [
"Therapeutic History",
"Radiology Examination"
] | [
"Subjective",
"Objective"
] | 3,763 |
[Discussion][Medication][Doctor] yeah , agreed . okay . and , um , so couple other things real quick . so it looked like your blood pressure looked really good today . so we're not going to change your amlodipine or lisinopril . so just continue taking those as you are currently . [Patient] okay , good .[SEP][Discussio... | [
"Physical Examination",
"Acute Assessment",
"Reassessment",
"Diagnostic Testing",
"Follow-up",
"Therapeutic History"
] | [
"Assessment",
"Plan",
"Subjective",
"Objective"
] | 3,764 |
[Chitchat][Doctor] hmmm yeah i'm not a big cat person [Patient] no neither[SEP][Acute Symptoms][Doctor] do you do you have any symptoms now well which is [Patient] no[SEP][Chitchat][Doctor] mm-hmm [Patient] okay[SEP] | [
"Physical Examination",
"Acute Assessment",
"Radiology Examination",
"Medication"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,765 |
[Personal History][Doctor] okay so you think this is more of a long term injury [Patient] no he was just thinking about it hurting when he thought about raking but it did n't[SEP][Personal History][Doctor] okay alright and have you noticed any any prior pain with with the back [Patient] i do n't want to take this away ... | [
"Discussion",
"Medication",
"Radiology Examination",
"Acute Assessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,766 |
[Personal History][Reassessment][Doctor] okay and that makes sense alright so as far as your diabetes you know and i think that's probably a a major cause of this not being able to heal how well are how well is that controlled [Patient] i take my medication but i do n't check my sugar all the time[SEP][Chitchat][Doctor... | [
"Discussion",
"Medication",
"Other Treatments",
"Radiology Examination",
"Diagnostic Testing",
"Acute Assessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,767 |
[Vegetative History][Doctor] okay got it and no bleeding or i'm sure it's a little swollen probably [Patient] yeah it's swollen but no bleeding[SEP][Personal History][Doctor] well i'll have you take off your shoes in a second we'll examine you in a second but since you're here and i wanted to talk about some of your ot... | [
"Discussion",
"Diagnostic Testing",
"Reassessment"
] | [
"Assessment",
"Plan"
] | 3,768 |
[Personal History][Doctor] you're checking your sugars regularly as well [Patient] yes[SEP][Discussion][Diagnostic Testing][Reassessment][Doctor] okay your hemoglobin a1c last time i looked at epic was about six . eight which is really good so i think you're doing a great job we had talked about you know cutting off th... | [
"Physical Examination",
"Discussion",
"Other Treatments",
"Diagnostic Testing",
"Acute Assessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,769 |
[Personal History][Doctor] alright so like is it a specific diet i just wan na make sure like are you on like the keto diet [Patient] no[SEP][Physical Examination][Doctor] okay alright not a problem so if you do n't mind i'm gon na go ahead and do a quick physical exam as i mentioned before your blood pressure is a lit... | [
"Reassessment",
"Physical Examination",
"Discussion",
"Diagnostic Testing",
"Acute Assessment",
"Referral",
"Radiology Examination",
"Medication"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,770 |
[Other Socials][Doctor] okay alright well i hope you're not working too much and then you'll able to at least find some time with the family [Patient] yeah i'm i yeah i tend to be a workaholic but yes i i am working on that[SEP][Chitchat][Doctor] okay well i hope kids are doing okay [Patient] they are thank you[SEP][Fa... | [
"Physical Examination",
"Lab Examination",
"Diagnostic Testing",
"Acute Assessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,771 |
[Chitchat][Doctor] i used to get tumor guy but i i really kinda moved over to nike [Patient] hmmm[SEP][Chitchat][Doctor] that's good you know it is running is a great exercise [Patient] it is[SEP][Personal History][Doctor] so have you had any let's get back to the exam here have you had a recent mri of your brain i saw... | [
"Discussion",
"Diagnostic Testing",
"Acute Assessment",
"Referral"
] | [
"Assessment",
"Plan"
] | 3,772 |
[Physical Examination][Doctor] okay positive pain to palpation of the soft tissues of the neck what about when i press on your back or your shoulders [Patient] no that's fine[SEP][Physical Examination][Doctor] okay so when you flex your neck when you're touching your chin to your chest does that hurt [Patient] mm-hmm[S... | [
"Discussion",
"Referral",
"Medication",
"Diagnostic Testing",
"Acute Assessment"
] | [
"Assessment",
"Plan"
] | 3,773 |
[Personal History][Therapeutic History][Doctor] okay and but your blood sugars are a bit off you know maybe those the cadberry eggs so how about your asthma how has that been doing you know have you had any asthma attacks you're still taking flovent twice a day and the albuterol as needed [Patient] yeah knock on wood i... | [
"Personal History",
"Radiology Examination",
"Vegetative History"
] | [
"Subjective",
"Objective"
] | 3,774 |
[Personal History][Therapeutic History][Doctor] okay excellent excellent alright and i recall you know just kinda review a few things i i think you've got an allergy to penicillin is that correct [Patient] that's correct yes[SEP][Personal History][Doctor] okay and then you you know your surgical history you had your yo... | [
"Discussion",
"Follow-up",
"Medication",
"Referral",
"Diagnostic Testing",
"Acute Assessment"
] | [
"Assessment",
"Plan"
] | 3,775 |
[Physical Examination][Doctor] okay so i'm looking here i think last after your last visit you got a1c now was six . seven so it's a little bit high it's gone down a little bit since you were first diagnosed with the type two diabetes a year ago so i'm glad we're making progress with that as well alright so i'm just go... | [
"Physical Examination",
"Diagnostic Testing",
"Acute Assessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,776 |
[Discussion][Other Treatments][Doctor] because i think that's a major factor of us eventually getting you off of all medications [Patient] hmmm[SEP][Discussion][Reassessment][Doctor] and then for your diabetes i'm just keep you on that on that five hundred of metformin okay i think you're doing well with that as well a... | [
"Follow-up",
"Personal History"
] | [
"Plan",
"Subjective"
] | 3,777 |
[Drug History][Doctor] okay now i really need you to be truthful when you answer these next questions this is important for taking a good history do you smoke any type of cigarette or tobacco product and have you ever smoked or do you smoke marijuana on a regular basis [Patient] no i've never smoked and i do n't vape e... | [
"Physical Examination",
"Follow-up",
"Medication",
"Acute Assessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,778 |
[Other Socials][Doctor] yeah i'm sorry yep probably now at the peak of you know just learning it and being able to do more with it this comes and this happens right [Patient] exactly[SEP][Family History][Doctor] well let's see what we can do for you here so you can go out into the you know the golf course again now do ... | [
"Physical Examination",
"Discussion",
"Medication",
"Radiology Examination",
"Diagnostic Testing",
"Acute Assessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,779 |
[Acute Symptoms][Doctor] your right knee okay and i know that it sounds like you were on a motor boat as you were you know water skiing but did you hear anything pop or feel anything pop when it happened [Patient] no it just felt like something stretched and then it swelled up some afterwards[SEP][Acute Symptoms][Docto... | [
"Chitchat",
"Other Socials"
] | [
"Null",
"Subjective"
] | 3,780 |
[Acute Symptoms][Therapeutic History][Doctor] okay and [Patient] putting a cold pack on it[SEP][Acute Symptoms][Therapeutic History][Doctor] okay and has that helped at all [Patient] yeah that's helped a fair amount it's still pretty sore though[SEP][Personal History][Doctor] okay alright well let's see have you ever h... | [
"Physical Examination",
"Discussion",
"Diagnostic Testing",
"Acute Assessment",
"Referral",
"Medication"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,781 |
[Drug History][Doctor] okay that's good i also see here that you marked down that you were a previous smoker and and when when did you when did you stop smoking [Patient] i stopped smoking probably about seven years ago[SEP][Drug History][Doctor] okay that's good and i'm glad to hear that you were able to to to stop an... | [
"Physical Examination",
"Discussion",
"Follow-up",
"Radiology Examination",
"Acute Assessment",
"Drug History",
"Other Treatments"
] | [
"Assessment",
"Plan",
"Subjective",
"Objective"
] | 3,782 |
[Vegetative History][Doctor] okay yeah i mean i think we all like to lose a little bit of weight but yeah it's a it says it's a struggle so no no chest pain or shortness of breath with this [Patient] no[SEP][Personal History][Therapeutic History][Doctor] okay so i i'm gon na you know we'll talk about that in a second i... | [
"Discussion",
"Personal History",
"Therapeutic History",
"Reassessment"
] | [
"Assessment",
"Plan",
"Subjective"
] | 3,783 |
[Personal History][Therapeutic History][Doctor] okay so i i'm gon na you know we'll talk about that in a second i'll look at your throat as well and see what we need to do but it sounds like we may have to send you to a specialist to take a look at that and see if there is something causing this how about how are you d... | [
"Physical Examination",
"Discussion",
"Referral",
"Medication",
"Acute Assessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,784 |
[Chitchat][Doctor] absolutely okay totally understand that glad to hear that you're back out on the court playing with your son how is he doing by the way [Patient] he is doing great he is doing great i mean you know he is a big step kurry fan so he likes to keep up shots from from way out past the three point line and... | [
"Other Treatments",
"Radiology Examination",
"Acute Assessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,785 |
[Other Socials][Doctor] so okay and what's your support like at home who is who is able to help out are you still doing that kind of hobbling around on crutches or [Patient] yeah now my husband is home with me but he also works a job where he is gone quite a bit so it's just me and the kids[SEP][Personal History][Thera... | [
"Acute Symptoms",
"Physical Examination",
"Therapeutic History",
"Radiology Examination",
"Diagnostic Testing",
"Reassessment"
] | [
"Assessment",
"Plan",
"Subjective",
"Objective"
] | 3,786 |
[Therapeutic History][Doctor] okay . i- i know that we had given you some clobetasol for your scalp . is that- so that's doing okay ? [Patient] yeah , that's doing a lot better .[SEP][Physical Examination][Doctor] okay , great . um , all right , well , i'd like to go ahead and do a physical exam on you . [Patient] okay... | [
"Physical Examination",
"Medication",
"Lab Examination",
"Diagnostic Testing",
"Reassessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,787 |
[Physical Examination][Doctor] okay , great . um , all right , well , i'd like to go ahead and do a physical exam on you . [Patient] okay .[SEP][Physical Examination][Doctor] let's first look at your vital signs . hey , dragon , show me the vital signs . great , so everything looks good from that perspective . um , so ... | [
"Discussion",
"Medication",
"Referral",
"Diagnostic Testing"
] | [
"Plan"
] | 3,788 |
[Acute Symptoms][Doctor] good . so , pretty much status quo except for those things that we've been working on , right ? [Patient] yep .[SEP][Physical Examination][Doctor] okay , good . all right . well , let me do a quick physical exam , okay ? [Patient] okay .[SEP][Physical Examination][Doctor] okay , squeeze my fing... | [
"Therapeutic History",
"Lab Examination"
] | [
"Subjective",
"Objective"
] | 3,789 |
[Physical Examination][Doctor] okay . no swelling . push your leg out . good . pull it back . mm-hmm . go . good . okay . so , on my exam , um , essentially , your exam is normal . your , um , heart is regular . you do have that grade 2 , um , systolic ejection fraction back ejection murmur that you , um , that we've h... | [
"Discussion",
"Follow-up",
"Medication",
"Other Treatments"
] | [
"Plan"
] | 3,790 |
[Physical Examination][Doctor] hey , dragon , show me the vital signs . good , here in the office , everything looks great with your vital signs . i think that's great , so i'm just gon na take a listen to your heart and your lungs , and take a look at your elbow and , and we'll go from there , okay ? [Patient] okay .[... | [
"Discussion",
"Other Treatments",
"Acute Assessment"
] | [
"Assessment",
"Plan"
] | 3,791 |
[Acute Symptoms][Doctor] okay . all right . and , have you had any headaches ? [Patient] i have had some headaches . i do n't know if that's just because of more stress at work or , um , because of the high blood pressure .[SEP][Acute Symptoms][Doctor] okay . all right . so , you've had some headaches . have you had an... | [
"Physical Examination",
"Personal History",
"Lab Examination"
] | [
"Subjective",
"Objective"
] | 3,792 |
[Acute Symptoms][Doctor] okay . all right . so , you've had some headaches . have you had any chest pain , shortness of breath , anything like that ? [Patient] no , nothing like that .[SEP][Personal History][Doctor] okay . um , and , you know , i know that you've had a kidney transplant a few years ago . [Patient] yes ... | [
"Reassessment",
"Radiology Examination",
"Lab Examination"
] | [
"Assessment",
"Objective"
] | 3,793 |
[Physical Examination][Personal History][Lab Examination][Doctor] all right . so , let's go ahead and we'll do a quick physical exam . so , looking at you , you do n't appear any distress . your neck is nice and supple . your heart is irregular rate and rhythm . i do hear a slight , uh , two out of six systolic ejectio... | [
"Diagnostic Testing",
"Medication",
"Reassessment",
"Follow-up"
] | [
"Assessment",
"Plan"
] | 3,794 |
[Physical Examination][Radiology Examination][Doctor] okay , yeah that lumbar fusion . um , let's take an x-ray . hey . or let's look at an x-ray . hey dragon , show me the latest x-ray . okay , we can see where you had your fusion , t4 here on the x-ray . but i do n't see anything that looks , um , significantly abnor... | [
"Acute Symptoms",
"Therapeutic History",
"Acute Assessment"
] | [
"Assessment",
"Subjective"
] | 3,795 |
[Physical Examination][Doctor] okay . um , so let's go ahead , and we'll ... i'm gon na do a quick physical exam . [Patient] okay .[SEP][Physical Examination][Lab Examination][Doctor] hey , dragon , show me the vital signs . so i'm looking here at your vital signs . they look great . you do n't have a fever at that ...... | [
"Discussion",
"Diagnostic Testing",
"Lab Examination"
] | [
"Plan",
"Objective"
] | 3,796 |
[Physical Examination][Lab Examination][Doctor] non-tender to palpation , no evidence of cellulitis . um , and the rest of , you know , the rest of your exam is pretty normal , okay ? so let me just go over some of the results with you , okay ? [Patient] okay .[SEP][Discussion][Diagnostic Testing][Lab Examination][Doct... | [
"Reassessment",
"Discussion",
"Diagnostic Testing"
] | [
"Assessment",
"Plan"
] | 3,797 |
[Vegetative History][Doctor] okay . any nausea or vomiting , chest pains , shortness of breath ? [Patient] no , but i do have high blood pressure , um , but i , i monitor that and i've been taking medication for that , and that has n't elevated , um , in any way since the joint pain .[SEP][Personal History][Therapeutic... | [
"Discussion",
"Medication",
"Lab Examination",
"Referral",
"Diagnostic Testing",
"Reassessment"
] | [
"Assessment",
"Plan",
"Objective"
] | 3,798 |
[Personal History][Therapeutic History][Doctor] okay . all right . so , yeah , i see on here that you do take norvasc , five mg a day and you've been taking that every day- [Patient] yes .[SEP][Physical Examination][Doctor] okay . um , and , um , so let's go ahead and do a quick physical exam on you . so , hey dragon ,... | [
"Discussion",
"Follow-up",
"Medication",
"Referral",
"Reassessment"
] | [
"Assessment",
"Plan"
] | 3,799 |
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