Transition of Care Document

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

Table of Contents


Social History

Code Activity Start Date End Date
266919005 (SNOMED) Never smoker
Birth Sex female
Sexual orientation Don’t Know
Gender identity Identifies as Female

Problems

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

Allergies

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

Medications

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

Instructions

Results

No data

History of Procedures

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)

Vital Signs

No data

Plan of Treatment

Future visit PRN - Follow up PRN for: Preoperative Appointment, Discussion of Procedure, Additional Consultation, Preoperative Marking

History of Past Illness

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

General Status

No data

Assessments

1.Lipedema Counseling - Lipedema

Immunizations

No data

Functional Status

No data

Mental Status

No data

Reason for Referral

No data

Encounters

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

Review Of Systems

No Data

Goals

No data

Medical Equipment

No data

Health Concerns

No data

History of Present Illness

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

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

Consultation Notes

No data

Laboratory Narrative

No data

Pathology Narrative

No data

Imaging Narrative

No data

Procedure Notes

No data

Progress Notes

No data

Care Team

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

History And Physical Notes

No data