Transition of Care Document

Patient Paula Bramlett Preferred Language Unspecified
Date of birth November 17, 1983 Sex Female
Race Unspecified

Ethnicity Unspecified
Contact info Home:

106 E Orange Grove Blvd, 303

Pasadena, CA 91103, US

Tel (Mobile): +1(575)-838-6323

Tel (Primary Home): +1(575)-838-6323

Mail: paula.bramlett@gmail.com

Patient IDs 3673435 2.16.840.1.113883.3.3710.999.44.88800115636.7770000101

MM0000001346 2.16.840.1.113883.3.3710.3

MODMED 2.16.840.1.113883.3.3710.200.501

115636PAT000001356 2.16.840.1.113883.3.3710.200.500

Document Id test-id-408527126 2.16.840.1.113883.3.3710.0
Document Created: April 4, 2024, 21:38:11 +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 4939592 2.16.840.1.113883.3.3710.999.44.88800115636.7770000111
Encounter Date  From March 11, 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 4, 2024, 21:38:11 +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 Unspecified
Gender identity Unspecified

Problems

Problem Code Type Status Date of Diagnosis Date of Resolution
Localized obesity (disorder) 270486005(SNOMED) Diagnosis active 03/11/2024
Localized obesity (disorder) 270486005(SNOMED) Diagnosis active 01/12/2024
Lymphedema (disorder) 234097001(SNOMED) Diagnosis active 01/12/2024
Lymphedema (disorder) 234097001(SNOMED) Diagnosis active 01/12/2024
Localized obesity (disorder) 270486005(SNOMED) Diagnosis active 01/12/2024
Hypermobile Ehlers-Danlos syndrome (disorder) 30652003(SNOMED) Diagnosis active 01/12/2024
Lymphedema (disorder) 234097001(SNOMED) Diagnosis active 01/12/2024
Easy bruising (finding) 424131007(SNOMED) Problem active
Emotional abuse (event) 371773006(SNOMED) Problem active
History of depression (situation) 161469008(SNOMED) Problem active
History of pneumonia (situation) 161525004(SNOMED) Problem active
Lipedema (disorder) 234102003(SNOMED) Problem active
Victim of verbal abuse (finding) 225825002(SNOMED) Problem active
Asthma (disorder) 195967001(SNOMED) Problem active

Allergies

Substance RxNorm Reaction(s) Severity Status Start Date
Penicillins Hives, Rash moderate to severe active 01/01/1985
morphine Nausea mild active 06/11/1996

Medications

No data

Instructions

Results

No data

History of Procedures

Code Site Date Diagnosed Status
Plastic surgery self-referral (procedure)
Documentation of past medical history (procedure)

Vital Signs

Vital Sign Measurement Date Recorded
Body Height 66.0 in Mon Mar 11 16:38:00 UTC 2024
Body Weight 228.0 lbs Mon Mar 11 16:38:00 UTC 2024
Body Mass Index 36.8 kg/m2 Mon Mar 11 16:38:00 UTC 2024

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 depression (situation) 161469008 FINDING
History of pneumonia (situation) 161525004 FINDING
Asthma (disorder) 195967001 FINDING
Victim of verbal abuse (finding) 225825002 FINDING
Lipedema (disorder) 234102003 FINDING
Emotional abuse (event) 371773006 FINDING
Easy bruising (finding) 424131007 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 17:00:00 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 40 year old female who is being seen for a lipedema consultation for lipedema affecting the legs, thighs, arms, abdomen, pubic area, 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: Yes - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes Abdomen: - Tenderness: Yes - Lipomas: not sure - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes Pubic Area: - Tenderness: Yes - Lipomas: Yes - 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: No Knees: - Tenderness: Yes - Lipomas: Yes - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes Duration: 30 years Associated Diagnoses: Lymphedema Similarly Affected Family Members: mother Pedicures: No Do You Wear Boots: No Lipedema Worsened By: puberty Swelling Occurs With: sitting Previous Treatments: Elevation (no change), Compression Garments for 12 weeks or more (no change), and Diet (Calorie Restriction (no change), Fasting (no change), Keto (no change), Low Carb (no change), and Anti-inflammatory (no change)) Difficulty Walking: No Flexibility: Very Flexible Cooler Areas: buttocks Easy Bruising: legs, thighs, calves, abdomen, buttocks, and arms Pain: when touched (Lowest Pain: 3 out of 10) 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 a little difficulty Ability to do chores such as vacuuming or yard work: Without any difficulty Ability to push open a heavy door: Without any difficulty Ability to exercise for an hour: Without any difficulty Ability to carry a heavy object (over 10 pounds /5 kg): Without any 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

No data

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