Patient | Sarah M Bramblette | Preferred Language | en |
Date of birth | September 10, 1977 | Sex | Female |
Race | White
|
Ethnicity | Not Hispanic or Latino |
Contact info | Primary Home:
9020 NE 8TH AVE, APT 1G MIAMI SHORES, FL 33138, US Tel (Mobile): +1(305)-409-0471 Tel (Primary Home): +1(305)-409-0471 Mail: sbramblette@gmail.com |
Patient IDs | 527733 2.16.840.1.113883.3.3710.999.44.88800115636.7770000101
6345 2.16.840.1.113883.3.3710.3 Ellkay 2.16.840.1.113883.3.3710.200.501 6345 2.16.840.1.113883.3.3710.200.500 |
Document Id | test-id-1838920833 2.16.840.1.113883.3.3710.0 |
Document Created: | April 4, 2024, 21:13:47 +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 | 4942536 2.16.840.1.113883.3.3710.999.44.88800115636.7770000111 | ||
Encounter Date | From March 11, 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 4, 2024, 21:13:47 +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 | 03/11/2024 | |
At high risk for malignant neoplasm of breast (finding) | 448731000124102(SNOMED) | Problem | active | ||
Deep venous thrombosis (disorder) | 128053003(SNOMED) | Problem | active | ||
Easy bruising (finding) | 424131007(SNOMED) | Problem | active | ||
History of obesity (situation) | 161453001(SNOMED) | Problem | active | ||
History of anemia (situation) | 275538002(SNOMED) | Problem | active | ||
History of cellulitis (situation) | 472962008(SNOMED) | Problem | active | ||
Lipedema (disorder) | 234102003(SNOMED) | Problem | active | ||
Lymphedema of lower extremity (disorder) | 403385000(SNOMED) | Problem | active | ||
Sleep apnea (disorder) | 73430006(SNOMED) | Problem | active | ||
History of clinical finding in subject (situation) | 417662000(SNOMED) | Problem | active | ||
Abdominoplasty (procedure) | 177250006(SNOMED) | Problem | active | ||
Reduction of batwing arms (procedure) | 24298005(SNOMED) | Problem | active | ||
Plastic surgery self-referral (procedure) | 183706004(SNOMED) | Problem | active | ||
History of skin disorder (situation) | 161560005(SNOMED) | Problem | active |
Substance | RxNorm | Reaction(s) | Severity | Status | Start Date |
---|---|---|---|---|---|
Bactrim | Rash, Hives | mild | active | ||
Cephalosporins | Hives, Rash | mild | active | ||
adhesive tape | Other: Redness and blisters | moderate | active |
Medication | Generic Name | RxNorm | Strength | Strength Unit | Route | Dose | Dose Form | Frequency | Date Started | Date Ended | Status | Indication | Sig |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Depo-Provera | medroxyprogesterone | 1000154 | 150 | mg/mL | Intramuscular | syringe | every 12 weeks | active | |||||
aspirin | aspirin | 212033 | 325 | mg | Oral | tablet | daily | active | |||||
Iron (ferrous sulfate) | ferrous sulfate | 325 mg | (65 mg iron) | Oral | tablet | daily | active | ||||||
Prenatal Tablet | prenatal vit-iron fum-folic ac | 28 mg iron- | 800 mcg | Oral | tablet | daily | active | ||||||
selenium | selenium | 200 | mcg | Oral | 2 | tablet | daily | active | |||||
turmeric | turmeric | 400 | mg | Oral | 2 | capsule | daily | active | |||||
Vitamin C | 282402 | 500 | mg | Oral | tablet | daily | active | ||||||
Vitamin D3 | cholecalciferol (vitamin D3) | 857466 | 125 mcg | (5,000 unit) | Oral | tablet | daily | active | |||||
Zyrtec | cetirizine | 1020026 | 10 | mg | Oral | tablet | daily | active | |||||
Ozempic | semaglutide | 2599365 | 2 mg/dose | (8 mg/3 mL) | Subcutaneous | pen injector | weekly | active | |||||
Vitamin B-12 | cyanocobalamin (vitamin B-12) | 199184 | 5,000 | mcg | Sublingual | tablet, sublingual | daily | active |
Code | Site | Date Diagnosed | Status |
---|---|---|---|
Cholecystectomy (procedure) | completed | ||
Roux-en-Y gastrojejunostomy (procedure) | completed | ||
Repair of ventral hernia (procedure) | completed | ||
Documentation of past medical history (procedure) | completed | ||
Abdominoplasty (procedure) | |||
Plastic surgery self-referral (procedure) | |||
Reduction of batwing arms (procedure) | |||
Roux-en-Y gastrojejunostomy (procedure) | |||
Repair of ventral hernia (procedure) | |||
Cholecystectomy (procedure) | |||
Documentation of past medical history (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 |
---|---|---|---|---|---|
History of skin disorder (situation) | 161560005 | FINDING | |||
Deep venous thrombosis (disorder) | 128053003 | FINDING | |||
History of obesity (situation) | 161453001 | FINDING | |||
Lipedema (disorder) | 234102003 | FINDING | |||
History of anemia (situation) | 275538002 | FINDING | |||
Lymphedema of lower extremity (disorder) | 403385000 | FINDING | |||
History of clinical finding in subject (situation) | 417662000 | FINDING | |||
Easy bruising (finding) | 424131007 | FINDING | |||
At high risk for malignant neoplasm of breast (finding) | 448731000124102 | FINDING | |||
History of cellulitis (situation) | 472962008 | FINDING | |||
Sleep apnea (disorder) | 73430006 | 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 | 03/11/2024 18:00:00 UTC | 99212 |
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This is a 46 year old female who is being seen for a lipedema consultation for lipedema affecting the legs, thighs, arms, forearms, abdomen, upper abdomen, pubic area, buttocks, hip shelf, knees, and ankles. Legs: - Location: Anterior and Posterior - Tenderness: Yes - Lipomas: No - Bruising: Yes - Pain: Yes - Cuffing: Yes - Dimpling: Yes Thighs: - Location: Anterior and Posterior - Tenderness: Yes - Lipomas: No - Bruising: Yes - Pain: Yes - Dimpling: Yes Forearms: - Tenderness: Yes - Lipomas: No - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes - Cuffing: 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: Yes - Spongy Adipose Tissue: Yes Pubic Area: - Tenderness: Yes - Lipomas: No - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes Buttocks: - Tenderness: Yes - Lipomas: No - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes - Dimpling: Yes Hip Shelf: - Tenderness: Yes - Lipomas: No - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes - Dimpling: Yes Knees: - Tenderness: Yes - Lipomas: No - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes Ankles: - Tenderness: they are tender but not much near the feet - Lipomas: No - Thickened Tender Subcutaneous Fat: No - Spongy Adipose Tissue: No Duration: 20 years Associated Diagnoses: Lymphedema, Blood Clots/DVT, and DX w/ Hypermobile Similarly Affected Family Members: mother Pedicures: Yes (patient is able to tolerate pedicure massages) Do You Wear Boots: No Lipedema Worsened By: Nothing Swelling Occurs With: standing, sitting, and end of day Previous Treatments: Compression Garments for 12 weeks or more (better), Manual Lymphatic Drainage for 12 weeks or more (better), Sequential Pumps for 12 week or more (better), and supplements that Dr. Herbst recommends and uses vibration plate - vibration plate doesn't really help Difficulty Walking: uses rollator Flexibility: Very Flexible Cooler Areas: thighs, arms, and feets Easy Bruising: legs and arms Ability to move a chair from one room to another: With some difficulty Ability to bend down and pick up clothing from the floor: With a little difficulty Ability to to stand for one hour: Unable to do Ability to do chores such as vacuuming or yard work: With much difficulty Ability to push open a heavy door: With some difficulty Ability to exercise for an hour: Unable to do Ability to carry a heavy object (over 10 pounds /5 kg): With some difficulty Ability to stand up from an armless straight chair: With much difficulty Ability to dress yourself, including tying shoelaces and buttoning your clothes: With much difficulty Ability to able to dry your back with a towel: With some difficulty The patient understands and agrees that they must continue wearing compression garments after their surgery.
Family history: Sister dead (situation) - SISTER |
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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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