Patient | Tami S Ahmad | Preferred Language | en |
Date of birth | October 22, 1961 | Sex | Female |
Race | White
|
Ethnicity | Not Hispanic or Latino |
Contact info | Primary Home:
318 W 25th Ave Covington, LA 70433, US Tel (Mobile): +1(985)-507-0009 Tel (Primary Home): +1(985)-507-0009 Mail: tsahmad61@yahoo.com Mail: tsahmad318@gmail.com |
Patient IDs | 528103 2.16.840.1.113883.3.3710.999.44.88800115636.7770000101
6718 2.16.840.1.113883.3.3710.3 Ellkay 2.16.840.1.113883.3.3710.200.501 6718 2.16.840.1.113883.3.3710.200.500 |
Document Id | test-id-1839709880 2.16.840.1.113883.3.3710.0 |
Document Created: | April 5, 2024, 15:04:06 +0000 |
Performer | Jaime Schwartz |
Author | Diana Tagaban, Jaime S. Schwartz, MD |
Contact info | Work Place:
240 S La Cienega Blvd Ste 200 Beverly Hills, CA 902113324, US Tel (Work Place): 3108825454 |
Encounter Id | 4532857 2.16.840.1.113883.3.3710.999.44.88800115636.7770000111 | ||
Encounter Date | From January 24, 2024 | ||
Encounter Participant | Jaime Schwartz | ||
Contact info | Work Place:
240 S La Cienega Blvd Ste 200 Beverly Hills, CA 902113324, US Tel (Work Place): 3108825454 |
Legal authenticator | Diana Tagaban signed at April 5, 2024, 15:04:06 +0000 |
Contact info | Work Place:
240 S La Cienega Blvd Ste 200 Beverly Hills, CA 902113324, US Tel (Work Place): 3108825454 |
Document maintained by | Jaime S. Schwartz, MD |
Contact info | Work Place:
240 S La Cienega Blvd Ste 200 Beverly Hills, CA 902113324, US Tel (Work Place): 3108825454 |
Code | Activity | Start Date | End Date |
---|---|---|---|
266919005 (SNOMED) | Never smoker | ||
Birth Sex | female | ||
Sexual orientation | Don’t Know | ||
Gender identity | Identifies as Female |
Problem | Code | Type | Status | Date of Diagnosis | Date of Resolution |
---|---|---|---|---|---|
Localized obesity (disorder) | 270486005(SNOMED) | Diagnosis | active | 01/24/2024 | |
Acquired lymphedema of lower extremity (disorder) | 609376003(SNOMED) | Problem | active | ||
Arthritis (disorder) | 3723001(SNOMED) | Problem | active | ||
Autoimmune disease (disorder) | 85828009(SNOMED) | Problem | active | ||
Deep venous thrombosis (disorder) | 128053003(SNOMED) | Problem | active | ||
Easy bruising (finding) | 424131007(SNOMED) | Problem | active | ||
Increased blood pressure (finding) | 24184005(SNOMED) | Problem | active | ||
Fibromyalgia (disorder) | 203082005(SNOMED) | Problem | active | ||
Gastroesophageal reflux disease (disorder) | 235595009(SNOMED) | Problem | active | ||
History of bronchitis (situation) | 275528007(SNOMED) | Problem | active | ||
History of obesity (situation) | 161453001(SNOMED) | Problem | active | ||
History of pneumonia (situation) | 161525004(SNOMED) | Problem | active | ||
History of anemia (situation) | 275538002(SNOMED) | Problem | active | ||
History of cellulitis (situation) | 472962008(SNOMED) | Problem | active | ||
History of fall (situation) | 428942009(SNOMED) | Problem | active | ||
History of orthopedic surgery (situation) | 53371000119101(SNOMED) | Problem | active | ||
Hypothyroidism (disorder) | 40930008(SNOMED) | Problem | active | ||
Lipedema (disorder) | 234102003(SNOMED) | Problem | active | ||
Lymphedema of lower extremity (disorder) | 403385000(SNOMED) | Problem | active | ||
Rheumatoid arthritis (disorder) | 69896004(SNOMED) | Problem | active | ||
Sleep apnea (disorder) | 73430006(SNOMED) | Problem | active | ||
History of clinical finding in subject (situation) | 417662000(SNOMED) | Problem | active | ||
History of reduction of breast (situation) | 428667005(SNOMED) | Problem | active | ||
Reduction mammoplasty (procedure) | 59214008(SNOMED) | Problem | active | ||
Reduction plasty of bilateral breasts (procedure) | 265250008(SNOMED) | Problem | active | ||
Acne (disorder) | 11381005(SNOMED) | Problem | active | ||
Psoriasis (disorder) | 9014002(SNOMED) | Problem | active |
Substance | RxNorm | Reaction(s) | Severity | Status | Start Date |
---|---|---|---|---|---|
Ceclor | 203635 | Anaphylaxis | severe | active | 01/01/1990 |
methotrexate | 6851 | Other: Atypical pneumonia | moderate | active | 01/01/2021 |
Rinvoq | 2196895 | Other: DVT | moderate | active | 01/12/2024 |
gabapentin | 25480 | Swelling | moderate | active |
Medication | Generic Name | RxNorm | Strength | Strength Unit | Route | Dose | Dose Form | Frequency | Date Started | Date Ended | Status | Indication | Sig |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Reclast | zoledronic acid-mannitol-water | 705875 | 5 | mg/100 mL | Intravenous | 1 | piggyback | qyr | 11/01/2022 | active | Osteoporosis | ||
Orencia | abatacept | 250 | mg | IV Infusion | q4week | 09/07/2021 | active | Rheumatoid Arthritis | |||||
ciprofloxacin HCl | ciprofloxacin HCl | 197511 | 250 | mg | Oral | 2 | tablet | bid | 03/01/2021 | active | Infection Knee Joint | ||
hydroxychloroquine | hydroxychloroquine | 979092 | 200 | mg | Oral | 1 | tablet | bid | 09/01/2017 | active | Rheumatoid Arthritis | ||
levothyroxine | levothyroxine | 966222 | 75 | mcg | Oral | 1 | tablet | qd | active | Hypothyroidism | |||
metoprolol tartrate | metoprolol tartrate | 866924 | 25 | mg | Oral | 1 | tablet | bid | 06/01/2022 | active | Tachycardia | ||
prednisone | prednisone | 198146 | 2.5 | mg | Oral | 1 | tablet | qd | active | Rheumatoid Arthritis | |||
Savella | milnacipran | 833149 | 25 | mg | Oral | 1 | tablet | bid | active | Fibromyalgia | |||
spironolactone | spironolactone | 313096 | 25 | mg | Oral | 1 | tablet | qd | active | Hypertension | |||
Mounjaro | tirzepatide | 2601758 | 15 | mg/0.5 mL | Subcutaneous | 1 | pen injector | qwk | active | Obesity |
Code | Site | Date Diagnosed | Status |
---|---|---|---|
Replacement of bilateral knee joints (procedure) | completed | ||
Cholecystectomy (procedure) | completed | ||
Documentation of past medical history (procedure) | completed | ||
Operation on brain (procedure) | completed | ||
Roux-en-Y gastrojejunostomy (procedure) | completed | ||
History of cholecystectomy (situation) | completed | ||
History of bypass of stomach (situation) | completed | ||
Bypass of stomach (procedure) | completed | ||
Total replacement of right knee joint (procedure) | completed | ||
Total replacement of left knee joint (procedure) | completed | ||
History of tubal ligation (situation) | completed | ||
Reduction plasty of bilateral breasts (procedure) | |||
History of reduction of breast (situation) | |||
Reduction mammoplasty (procedure) | |||
Roux-en-Y gastrojejunostomy (procedure) | |||
History of tubal ligation (situation) | |||
Cholecystectomy (procedure) | |||
History of cholecystectomy (situation) | |||
Documentation of past medical history (procedure) | |||
Bypass of stomach (procedure) | |||
Total replacement of left knee joint (procedure) | |||
Total replacement of right knee joint (procedure) | |||
Replacement of bilateral knee joints (procedure) | |||
History of bypass of stomach (situation) | |||
Operation on brain (procedure) |
Future visit PRN - Follow up PRN for: Preoperative Appointment, Discussion of Procedure, Additional Consultation, Preoperative Marking
Problem | Code | Type | Status | Date of Diagnosis | Date of Resolution |
---|---|---|---|---|---|
Acne (disorder) | 11381005 | FINDING | |||
Psoriasis (disorder) | 9014002 | FINDING | |||
Deep venous thrombosis (disorder) | 128053003 | FINDING | |||
History of obesity (situation) | 161453001 | FINDING | |||
History of pneumonia (situation) | 161525004 | FINDING | |||
Fibromyalgia (disorder) | 203082005 | FINDING | |||
Lipedema (disorder) | 234102003 | FINDING | |||
Gastroesophageal reflux disease (disorder) | 235595009 | FINDING | |||
Increased blood pressure (finding) | 24184005 | FINDING | |||
History of bronchitis (situation) | 275528007 | FINDING | |||
History of anemia (situation) | 275538002 | FINDING | |||
Arthritis (disorder) | 3723001 | FINDING | |||
Lymphedema of lower extremity (disorder) | 403385000 | FINDING | |||
Hypothyroidism (disorder) | 40930008 | FINDING | |||
History of clinical finding in subject (situation) | 417662000 | FINDING | |||
Easy bruising (finding) | 424131007 | FINDING | |||
History of fall (situation) | 428942009 | FINDING | |||
History of cellulitis (situation) | 472962008 | FINDING | |||
History of orthopedic surgery (situation) | 53371000119101 | FINDING | |||
Acquired lymphedema of lower extremity (disorder) | 609376003 | FINDING | |||
Rheumatoid arthritis (disorder) | 69896004 | FINDING | |||
Sleep apnea (disorder) | 73430006 | FINDING | |||
Autoimmune disease (disorder) | 85828009 | FINDING |
Service provided at Jaime S. Schwartz, MD, 240 S La Cienega Blvd Ste 200, Beverly Hills, CA 902113324. Office phone number is 3108825454.
Encounter Diagnosis | Location | Date / Time | Type |
---|---|---|---|
Lipedema (E65) | Jaime S. Schwartz, MD | 01/24/2024 23:00:00 UTC | 99202 |
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This is a 62 year old female who is being seen for a lipedema consultation for lipedema affecting the legs, thighs, arms, abdomen, pubic area, buttocks, hip shelf, knees, and ankles. Legs: - Location: Anterior and Posterior - Tenderness: Yes - Lipomas: Yes - Bruising: Yes - Pain: Yes - Cuffing: Yes - Dimpling: Yes Thighs: - Location: Anterior and Posterior - Tenderness: Yes - Lipomas: Yes - Bruising: Yes - Pain: Yes - Dimpling: Yes Arms: - Tenderness: Yes - Lipomas: Yes - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes Abdomen: - Tenderness: Yes - Lipomas: Yes - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes Pubic Area: - Tenderness: Yes - Lipomas: Yes - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes Buttocks: - Tenderness: Yes - Lipomas: Yes - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes - Dimpling: Yes Hip Shelf: - Tenderness: Yes - Lipomas: Yes - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes - Dimpling: Yes Knees: - Tenderness: Yes - Lipomas: Yes - Thickened Tender Subcutaneous Fat: Yes Ankles: - Tenderness: Yes - Lipomas: Yes - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes Duration: 40 years Similarly Affected Family Members: mother Pedicures: Yes (patient is able to tolerate pedicure massages) Do You Wear Boots: No Lipedema Worsened By: puberty and menopause Swelling Occurs With: standing, sitting, end of day, and summer Previous Treatments: Compression Garments for 12 weeks or more, Manual Lymphatic Drainage for 12 weeks or more, Sequential Pumps for 12 week or more, and bariatric surgery Difficulty Walking: Yes (legs feel extremely heavy) Flexibility: Very Flexible Cooler Areas: calves and arms Easy Bruising: legs, thighs, calves, abdomen, buttocks, arms, and none Pain: all the time, with movement, when touched, and when sleeping Ability to move a chair from one room to another: Without any difficulty Ability to bend down and pick up clothing from the floor: Without any difficulty Ability to to stand for one hour: With much difficulty Ability to do chores such as vacuuming or yard work: With some difficulty Ability to push open a heavy door: Without any difficulty Ability to exercise for an hour: With a little difficulty Ability to carry a heavy object (over 10 pounds /5 kg): With a little difficulty Ability to stand up from an armless straight chair: Without any difficulty Ability to dress yourself, including tying shoelaces and buttoning your clothes: Without any difficulty Ability to able to dry your back with a towel: Without any difficulty The patient understands and agrees that they must continue wearing compression garments after their surgery.
Family history of cancer of colon (situation) - MOTHER |
Family history: Diabetes mellitus in first degree relative (situation) - FATHER, GRANDMOTHER, AUNT |
Family history of cirrhosis of liver (situation) - FATHER |
Family history of chronic obstructive lung disease (situation) - FATHER |
Family history of malignant neoplasm of uterus (situation) - AUNT |
Family history: Stomach cancer (situation) - GRANDMOTHER |
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Care Team Member Name | Role | Identifier | location | Telecom |
---|---|---|---|---|
Jaime Schwartz | Doctor | 1336397660 | 240 S La Cienega Blvd Ste 200, Beverly Hills, CA 902113324, US | 3108825454 |
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