| Patient | Rose Christine Averill | Preferred Language | en |
| Date of birth | October 26, 1961 | Sex | Female |
| Race | Unspecified
|
Ethnicity | Unspecified |
| Contact info | Primary Home:
2140 longbow lane clearwater, FL 33764, US Tel (Mobile): +1(727)-424-3402 Tel (Work Place): +1(727)-447-3000 Mail: raverill@stfrancismed.com |
Patient IDs | 534416 2.16.840.1.113883.3.3710.999.44.88800115636.7770000101
13096 2.16.840.1.113883.3.3710.3 Ellkay 2.16.840.1.113883.3.3710.200.501 13096 2.16.840.1.113883.3.3710.200.500 |
| Document Id | test-id-981168816 2.16.840.1.113883.3.3710.0 |
| Document Created: | April 5, 2024, 09:33:47 +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 | 4647789 2.16.840.1.113883.3.3710.999.44.88800115636.7770000111 | ||
| Encounter Date | From February 12, 2024 | ||
| Encounter Participant | Kaory Silva | ||
| Contact info | Work Place:
240 S La Cienega Blvd Ste 200 Beverly Hills, CA 902113324, US Tel (Work Place): 3108825454 |
||
| 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, 09:33:47 +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 | Straight (Heterosexual) | ||
| Gender identity | Identifies as Female |
| Problem | Code | Type | Status | Date of Diagnosis | Date of Resolution |
|---|---|---|---|---|---|
| Localized obesity (disorder) | 270486005(SNOMED) | Diagnosis | active | 02/12/2024 | |
| Easy bruising (finding) | 424131007(SNOMED) | Problem | active | ||
| Gastroesophageal reflux disease (disorder) | 235595009(SNOMED) | Problem | active | ||
| History of obesity (situation) | 161453001(SNOMED) | Problem | active | ||
| History of lipoma (situation) | 16900351000119101(SNOMED) | Problem | active | ||
| History of vasculitis (situation) | 472974007(SNOMED) | Problem | active | ||
| Lipedema (disorder) | 234102003(SNOMED) | Problem | active | ||
| Rheumatoid arthritis (disorder) | 69896004(SNOMED) | Problem | active | ||
| Abdominoplasty and liposuction (procedure) | 177252003(SNOMED) | Problem | active | ||
| Weight reduction regimen (regime/therapy) | 388976009(SNOMED) | Problem | active |
| Substance | RxNorm | Reaction(s) | Severity | Status | Start Date |
|---|---|---|---|---|---|
| seasonal plants | N/A | N/A | N/A | N/A | N/A |
| Code | Site | Date Diagnosed | Status |
|---|---|---|---|
| Classical cesarean section (procedure) | completed | ||
| Hysterectomy (procedure) | completed | ||
| Documentation of past medical history (procedure) | completed | ||
| Abdominoplasty and liposuction (procedure) | |||
| in 1990's after 2 C-sections | |||
| Weight reduction regimen (regime/therapy) | |||
| Hysterectomy (procedure) | |||
| Documentation of past medical history (procedure) | |||
| Classical cesarean section (procedure) |
| Vital Sign | Measurement | Date Recorded |
|---|---|---|
| Body Height | 67.0 in | Mon Feb 12 23:23:00 UTC 2024 |
| Body Weight | 310.0 lbs | Mon Feb 12 23:23:00 UTC 2024 |
| Body Mass Index | 48.5 kg/m2 | Mon Feb 12 23:23:00 UTC 2024 |
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 |
|---|---|---|---|---|---|
| History of obesity (situation) | 161453001 | FINDING | |||
| History of lipoma (situation) | 16900351000119101 | FINDING | |||
| Lipedema (disorder) | 234102003 | FINDING | |||
| Gastroesophageal reflux disease (disorder) | 235595009 | FINDING | |||
| Arthritis (disorder) | 3723001 | FINDING | |||
| Easy bruising (finding) | 424131007 | FINDING | |||
| History of vasculitis (situation) | 472974007 | FINDING | |||
| Rheumatoid arthritis (disorder) | 69896004 | 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 | 02/12/2024 21:30:00 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, upper abdomen, buttocks, hip shelf, and knees. Legs: - Location: Anterior and Posterior - Tenderness: Yes - Lipomas: Yes - Bruising: Yes - Pain: Yes - Cuffing: No - Dimpling: Yes Thighs: - Location: Anterior and Posterior - Tenderness: Yes - Lipomas: Yes - Bruising: Yes - Pain: Yes - Dimpling: Yes Arms: - Tenderness: Yes - Lipomas: No - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes Abdomen: - Tenderness: Yes - Lipomas: No - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes Upper Abdomen: - Tenderness: Yes - Lipomas: No - Thickened Tender Subcutaneous Fat: No - 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 - Spongy Adipose Tissue: Yes Duration: 20 years Associated Diagnoses: Lymphedema and Varicose veins Similarly Affected Family Members: mother Pedicures: Yes (patient is able to tolerate pedicure massages) Do You Wear Boots: No Lipedema Worsened By: puberty, pregnancy, oral contraceptive pills, menopause, and hysterectomy Swelling Occurs With: standing, sitting, end of day, and summer Previous Treatments: Elevation (better), Compression Garments for 12 weeks or more (no change), Manual Lymphatic Drainage for 12 weeks or more (no change), Sequential Pumps for 12 week or more (no change), and Diet (Intermittent fasting (better) and Keto (better)) Difficulty Walking: Yes Flexibility: Not Flexible Cooler Areas: thighs and buttocks Easy Bruising: thighs, calves, and buttocks Pain: all the time (Average Pain Score: 10 out of 10) Ability to move a chair from one room to another: With much difficulty Ability to bend down and pick up clothing from the floor: Without any difficulty Ability to to stand for one hour: With some difficulty Ability to do chores such as vacuuming or yard work: With much difficulty Ability to push open a heavy door: With a little difficulty Ability to exercise for an hour: With much difficulty Ability to carry a heavy object (over 10 pounds /5 kg): With some difficulty Ability to stand up from an armless straight chair: With some difficulty Ability to dress yourself, including tying shoelaces and buttoning your clothes: With a little difficulty Ability to able to dry your back with a towel: Without any difficulty Due to the patient's lipedema, they are unable to undergo a necessary surgery by another provider (knee replacement). The patient understands and agrees that they must continue wearing compression garments after their surgery.
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| Care Team Member Name | Role | Identifier | location | Telecom |
|---|---|---|---|---|
| Kaory Silva | Surgical Coordinator | 240 S La Cienega Blvd Ste 200, Beverly Hills, CA 902113324, US | 3108825454 | |
| Jaime Schwartz | Doctor | 1336397660 | 240 S La Cienega Blvd Ste 200, Beverly Hills, CA 902113324, US | 3108825454 |
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