Transition of Care Document

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

Table of Contents


Social History

Code Activity Start Date End Date
266919005 (SNOMED) Never smoker
Birth Sex female
Sexual orientation Straight (Heterosexual)
Gender identity Identifies as Female

Problems

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

Allergies

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

Medications

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

Instructions

Results

No data

History of Procedures

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)

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
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

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 03/11/2024 18:00:00 UTC 99212

Review Of Systems

No Data

Goals

No data

Medical Equipment

No data

Health Concerns

No data

History of Present Illness

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

Family history: Sister dead (situation) - SISTER

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
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

History And Physical Notes

No data