Patient | Mary Joan Berns | Preferred Language | en |
Date of birth | September 6, 1958 | Sex | Female |
Race | Unspecified
|
Ethnicity | Unspecified |
Contact info | Primary Home:
15986 71st NW South Haven, MN 55382, US Tel (Mobile): +1(320)-492-7404 Mail: Mary.berns@gmail.com |
Patient IDs | 529948 2.16.840.1.113883.3.3710.999.44.88800115636.7770000101
8583 2.16.840.1.113883.3.3710.3 Ellkay 2.16.840.1.113883.3.3710.200.501 8583 2.16.840.1.113883.3.3710.200.500 |
Document Id | test-id-343378867 2.16.840.1.113883.3.3710.0 |
Document Created: | April 5, 2024, 13:45:46 +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 | 4599844 2.16.840.1.113883.3.3710.999.44.88800115636.7770000111 | ||
Encounter Date | From January 30, 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, 13:45:46 +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 | Unspecified |
Problem | Code | Type | Status | Date of Diagnosis | Date of Resolution |
---|---|---|---|---|---|
Localized obesity (disorder) | 270486005(SNOMED) | Diagnosis | active | 01/30/2024 | |
Arthritis (disorder) | 3723001(SNOMED) | Problem | active | ||
Autoimmune disease (disorder) | 85828009(SNOMED) | Problem | active | ||
Circulatory care for venous insufficiency (regime/therapy) | 386238003(SNOMED) | Problem | active | ||
Easy bruising (finding) | 424131007(SNOMED) | Problem | active | ||
Hearing loss (disorder) | 15188001(SNOMED) | Problem | active | ||
Hypothyroidism (disorder) | 40930008(SNOMED) | Problem | active | ||
Lipedema (disorder) | 234102003(SNOMED) | Problem | active | ||
Lymphedema of lower extremity (disorder) | 403385000(SNOMED) | Problem | active |
Substance | RxNorm | Reaction(s) | Severity | Status | Start Date |
---|---|---|---|---|---|
No Known Allergies | N/A | N/A | N/A | N/A | N/A |
Medication | Generic Name | RxNorm | Strength | Strength Unit | Route | Dose | Dose Form | Frequency | Date Started | Date Ended | Status | Indication | Sig |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
liothyronine | liothyronine | 903456 | 5 | mcg | Oral | tablet | active | ||||||
Synthroid | levothyroxine | 966191 | 125 | mcg | Oral | tablet | active | ||||||
Wegovy | semaglutide (weight loss) | 2554104 | 2.4 | mg/0.75 mL | Subcutaneous | pen injector | active |
Code | Site | Date Diagnosed | Status |
---|---|---|---|
Documentation of past medical history (procedure) | completed | ||
Documentation of past medical history (procedure) |
Vital Sign | Measurement | Date Recorded |
---|---|---|
Body Height | 66.0 in | Tue Jan 30 19:13:00 UTC 2024 |
Body Weight | 196.0 lbs | Tue Jan 30 19:13:00 UTC 2024 |
Body Mass Index | 31.6 kg/m2 | Tue Jan 30 19:13:00 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 skin disorder (situation) - none | 161560005 | FINDING | |||
Hearing loss (disorder) | 15188001 | FINDING | |||
Lipedema (disorder) | 234102003 | FINDING | |||
Arthritis (disorder) | 3723001 | FINDING | |||
Circulatory care for venous insufficiency (regime/therapy) | 386238003 | FINDING | |||
Lymphedema of lower extremity (disorder) | 403385000 | FINDING | |||
Hypothyroidism (disorder) | 40930008 | FINDING | |||
Easy bruising (finding) | 424131007 | FINDING | |||
Acquired lymphedema of lower extremity (disorder) | 609376003 | 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 | 01/30/2024 19:00:00 UTC | 99202 |
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This is a 65 year old female who is being seen for a lipedema consultation for lipedema affecting the legs, thighs, arms, abdomen, buttocks, and hip shelf. Legs: - Location: Anterior and Posterior - Tenderness: Yes - Bruising: Yes - Pain: Yes - Cuffing: Yes - Dimpling: Yes Thighs: - Location: Anterior and Posterior - Tenderness: Yes - Bruising: Yes - Pain: Yes - Dimpling: Yes Arms: - Tenderness: Yes - Lipomas: I don’t know what that is. - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes Abdomen: - Tenderness: Yes - Lipomas: I don’t know what that is. - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes Buttocks: - Tenderness: Yes - Lipomas: I don’t know what that is. - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes - Dimpling: Yes Hip Shelf: - Tenderness: Yes - Lipomas: I don’t know what that is. - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes - Dimpling: Yes Duration: 45 years Associated Diagnoses: Lymphedema, Venous Disease, and Hashimoto's thyroid disease Similarly Affected Family Members: grandmother and daughter Pedicures: Yes (patient is not able to tolerate pedicure massages) Do You Wear Boots: No Lipedema Worsened By: puberty, pregnancy, and menopause Swelling Occurs With: standing, sitting, and end of day Previous Treatments: Elevation (no change), Manual Lymphatic Drainage for 12 weeks or more (no change), Diet (Mediterranean (no change), Keto (no change), Calorie Restriction (no change), Intermittent fasting (no change), Low Carb (no change), Fasting (no change), and Anti-inflammatory (no change)), and Medication (Semaglutide (Ozempic/Wegovy)) Difficulty Walking: Yes Flexibility: Moderately Flexible Easy Bruising: legs, thighs, abdomen, and arms Pain: when touched (Lowest Pain: 10 out of 10) 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 some difficulty Ability to do chores such as vacuuming or yard work: With a little difficulty Ability to push open a heavy door: Without any difficulty Ability to exercise for an hour: With some difficulty Ability to carry a heavy object (over 10 pounds /5 kg): Without any difficulty Ability to stand up from an armless straight chair: With some 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. Additional History: I have arthritis. My doctor wants to treat me for restless leg syndrome but I told her it’s the lipedema. I would love to go for a walk without pain. I have hypothyroidism. I also have hyperhydrosis so wearing compression is not appealing to me. I get regular lymphatic drainage massages. I need vein surgery as well.
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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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