Patient | Kathryn Brown | Preferred Language | Unspecified |
Date of birth | March 3, 1978 | Sex | Female |
Race | Unspecified
|
Ethnicity | Unspecified |
Contact info | Primary Home:
1457 Sedalia Dr, , Flower Mound, TX 75028, US Tel (Mobile): +1(972)-977-4511 Tel (Primary Home): +1(972)-977-4511 Mail: Kathryn_d_brown@yahoo.com |
Patient IDs | 534426 2.16.840.1.113883.3.3710.999.44.88800115636.7770000101
13106 2.16.840.1.113883.3.3710.3 Ellkay 2.16.840.1.113883.3.3710.200.501 13106 2.16.840.1.113883.3.3710.200.500 |
Document Id | test-id-917767480 2.16.840.1.113883.3.3710.0 |
Document Created: | April 5, 2024, 13:54:47 +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 | 4560185 2.16.840.1.113883.3.3710.999.44.88800115636.7770000111 | ||
Encounter Date | From January 29, 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, 13:54:47 +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 | Don’t Know | ||
Gender identity | Unspecified |
Problem | Code | Type | Status | Date of Diagnosis | Date of Resolution |
---|---|---|---|---|---|
Localized obesity (disorder) | 270486005(SNOMED) | Diagnosis | active | 01/29/2024 | |
Localized obesity (disorder) | 270486005(SNOMED) | Diagnosis | active | 12/15/2023 | |
Disorder of connective tissue (disorder) | 105969002(SNOMED) | Diagnosis | active | 12/15/2023 | |
Iron deficiency (disorder) | 35240004(SNOMED) | Diagnosis | active | 12/15/2023 | |
Mast cell disorder (disorder) | 397007003(SNOMED) | Diagnosis | active | 12/15/2023 | |
Allergic rhinitis (disorder) | 61582004(SNOMED) | Diagnosis | active | 12/15/2023 | |
Generalized skin eruption caused by drug and medicament (disorder) | 200892002(SNOMED) | Diagnosis | active | 12/15/2023 | |
Immunodeficiency disorder (disorder) | 234532001(SNOMED) | Diagnosis | active | 12/15/2023 | |
Localized obesity (disorder) | 270486005(SNOMED) | Diagnosis | active | 12/15/2023 | |
Lymphedema (disorder) | 234097001(SNOMED) | Diagnosis | active | 12/15/2023 | |
Peripheral venous insufficiency (disorder) | 20696009(SNOMED) | Diagnosis | active | 12/15/2023 | |
Localized obesity (disorder) | 270486005(SNOMED) | Diagnosis | active | 12/15/2023 | |
Hypermobile Ehlers-Danlos syndrome (disorder) | 30652003(SNOMED) | Diagnosis | active | 12/15/2023 | |
Lymphedema (disorder) | 234097001(SNOMED) | Diagnosis | active | 12/15/2023 | |
Mast cell disorder (disorder) | 397007003(SNOMED) | Diagnosis | active | 12/15/2023 | |
Varicose veins of lower extremity (disorder) | 72866009(SNOMED) | Diagnosis | active | 12/15/2023 | |
Peripheral venous insufficiency (disorder) | 20696009(SNOMED) | Diagnosis | active | 12/15/2023 | |
Iron deficiency (disorder) | 35240004(SNOMED) | Diagnosis | active | 12/15/2023 | |
Anxiety (finding) | 48694002(SNOMED) | Problem | active | ||
Asthma (disorder) | 195967001(SNOMED) | Problem | active | ||
Circulatory care for venous insufficiency (regime/therapy) | 386238003(SNOMED) | Problem | active | ||
Depressive disorder (disorder) | 35489007(SNOMED) | Problem | active | ||
Easy bruising (finding) | 424131007(SNOMED) | Problem | active | ||
Emotional abuse (event) | 371773006(SNOMED) | Problem | active | ||
Fibromyalgia (disorder) | 203082005(SNOMED) | Problem | active | ||
Functional visual loss (disorder) | 313165001(SNOMED) | Problem | active | ||
History of asthma (situation) | 161527007(SNOMED) | Problem | active | ||
History of bronchitis (situation) | 275528007(SNOMED) | Problem | active | ||
History of depression (situation) | 161469008(SNOMED) | Problem | active | ||
History of obesity (situation) | 161453001(SNOMED) | Problem | active | ||
History of pneumonia (situation) | 161525004(SNOMED) | Problem | active | ||
History of anemia (situation) | 275538002(SNOMED) | Problem | active | ||
History of gastritis (situation) | 691501000119103(SNOMED) | Problem | active | ||
Lipedema (disorder) | 234102003(SNOMED) | Problem | active | ||
Abdominoplasty (procedure) | 177250006(SNOMED) | Problem | active | ||
Reduction of batwing arms (procedure) | 24298005(SNOMED) | Problem | active | ||
Acne (disorder) | 11381005(SNOMED) | Problem | active | ||
Eczema (disorder) | 43116000(SNOMED) | Problem | active | ||
History of skin disorder (situation) | 161560005(SNOMED) | Problem | active | ||
Ehlers-Danlos syndrome (disorder) | 398114001(SNOMED) | Problem | active | ||
Lymphedema of limb (disorder) | 439500002(SNOMED) | Problem | active | ||
Lymphedema of lower extremity (disorder) | 403385000(SNOMED) | Problem | active | ||
Victim of verbal abuse (finding) | 225825002(SNOMED) | Problem | active |
Substance | RxNorm | Reaction(s) | Severity | Status | Start Date |
---|---|---|---|---|---|
ragweed pollen | Fatigue, Headache | moderate to severe | active | 10/15/1994 |
Medication | Generic Name | RxNorm | Strength | Strength Unit | Route | Dose | Dose Form | Frequency | Date Started | Date Ended | Status | Indication | Sig |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Sudafed Sinus 12Hr Pressr-Pain | naproxen-pseudoephedrine | oral | active | ||||||||||
Zyrtec-D | cetirizine-pseudoephedrine | 1014583 | 5-120 | mg | Oral | tablet extended release 12 hr | active |
Code | Site | Date Diagnosed | Status |
---|---|---|---|
Repair of inguinal hernia (procedure) | completed | ||
History of bypass of stomach (situation) | completed | ||
Documentation of past medical history (procedure) | completed | ||
Bypass of stomach (procedure) | completed | ||
Surgical biopsy of skin (procedure) | completed | ||
Roux-en-Y gastrojejunostomy (procedure) | completed | ||
Bypass of stomach (procedure) | completed | ||
History of bypass of stomach (situation) | completed | ||
Repair of inguinal hernia (procedure) | completed | ||
Roux-en-Y gastrojejunostomy (procedure) | completed | ||
Surgical biopsy of skin (procedure) | completed | ||
Documentation of past medical history (procedure) | completed | ||
Roux-en-Y gastrojejunostomy (procedure) | completed | ||
Bypass of stomach (procedure) | completed | ||
History of bypass of stomach (situation) | completed | ||
Repair of inguinal hernia (procedure) | completed | ||
Surgical biopsy of skin (procedure) | completed | ||
Documentation of past medical history (procedure) | completed | ||
Bypass of stomach (procedure) | completed | ||
History of bypass of stomach (situation) | completed | ||
Repair of inguinal hernia (procedure) | completed | ||
Roux-en-Y gastrojejunostomy (procedure) | completed | ||
Surgical biopsy of skin (procedure) | completed | ||
Documentation of past medical history (procedure) | completed | ||
Bypass of stomach (procedure) | completed | ||
History of bypass of stomach (situation) | completed | ||
Repair of inguinal hernia (procedure) | completed | ||
Roux-en-Y gastrojejunostomy (procedure) | completed | ||
Surgical biopsy of skin (procedure) | completed | ||
Documentation of past medical history (procedure) | completed | ||
Bypass of stomach (procedure) | completed | ||
History of bypass of stomach (situation) | completed | ||
Repair of inguinal hernia (procedure) | completed | ||
Roux-en-Y gastrojejunostomy (procedure) | completed | ||
Surgical biopsy of skin (procedure) | completed | ||
Documentation of past medical history (procedure) | completed | ||
Abdominoplasty (procedure) | |||
Reduction of batwing arms (procedure) | |||
Roux-en-Y gastrojejunostomy (procedure) | |||
Surgical biopsy of skin (procedure) | |||
Documentation of past medical history (procedure) | |||
Bypass of stomach (procedure) | |||
Repair of inguinal hernia (procedure) | |||
History of bypass of stomach (situation) |
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 |
---|---|---|---|---|---|
Acne (disorder) | 11381005 | FINDING | |||
History of skin disorder (situation) | 161560005 | FINDING | |||
Eczema (disorder) | 43116000 | FINDING | |||
History of obesity (situation) | 161453001 | FINDING | |||
History of depression (situation) | 161469008 | FINDING | |||
History of pneumonia (situation) | 161525004 | FINDING | |||
History of asthma (situation) | 161527007 | FINDING | |||
Asthma (disorder) | 195967001 | FINDING | |||
Fibromyalgia (disorder) | 203082005 | FINDING | |||
Victim of verbal abuse (finding) | 225825002 | FINDING | |||
Lipedema (disorder) | 234102003 | FINDING | |||
History of bronchitis (situation) | 275528007 | FINDING | |||
History of anemia (situation) | 275538002 | FINDING | |||
Functional visual loss (disorder) | 313165001 | FINDING | |||
Depressive disorder (disorder) | 35489007 | FINDING | |||
Emotional abuse (event) | 371773006 | FINDING | |||
Circulatory care for venous insufficiency (regime/therapy) | 386238003 | FINDING | |||
Ehlers-Danlos syndrome (disorder) | 398114001 | FINDING | |||
Lymphedema of lower extremity (disorder) | 403385000 | FINDING | |||
Easy bruising (finding) | 424131007 | FINDING | |||
Lymphedema of limb (disorder) | 439500002 | FINDING | |||
Anxiety (finding) | 48694002 | FINDING | |||
History of gastritis (situation) | 691501000119103 | 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 | 01/29/2024 18:00:00 UTC | 99202 |
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This is a 45 year old female who is being seen for lipedema follow-up lipedema affecting the legs, thighs, arms, forearms, abdomen, upper abdomen, buttocks, hip shelf, knees, and ankles. Since their last visit the lipedema is I’m now experiencing additional symptoms since seeing Dr Herbst in December 2023. My lower back is hurting & I’m having issues with both feet. I was diagnosed with tendinitis (left foot) & bunionette (right foot) by a podiatrist. He indicated the pain was resulting from inflammation.. Legs: - Location: Anterior and Posterior - Tenderness: Yes - Lipomas: Not that I’m aware of. I have numerous nodules covering multiple places on my body. I have a nodule that could possibly be a lipoma on my left buttock. - Bruising: Yes - Pain: Yes - Cuffing: Yes - Dimpling: Yes Thighs: - Location: Anterior and Posterior - Tenderness: Yes - Lipomas: Not that I’m aware of - Bruising: Yes - Pain: Yes - Dimpling: Yes Forearms: - Tenderness: Yes - Lipomas: Not that I’m aware of - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes - Cuffing: Yes Arms: - Tenderness: Yes - Lipomas: Not that I’m aware of - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes Abdomen: - Tenderness: Yes - Lipomas: I’m not sure - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes Upper Abdomen: - Tenderness: Yes - Lipomas: Not sure - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes Buttocks: - Tenderness: Yes - Lipomas: I believe I do - left side - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes - Dimpling: Yes Hip Shelf: - Tenderness: Yes - Lipomas: Not sure - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes - Dimpling: Yes Knees: - Tenderness: Yes - Lipomas: Not sure - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes Ankles: - Tenderness: Yes - Lipomas: Not sure - Thickened Tender Subcutaneous Fat: Yes - Spongy Adipose Tissue: Yes Duration: 35 years Associated Diagnoses: Lymphedema, Ehlers Danlos, Venous Disease, Varicose veins, Lipedema in the breast tissue (diagnosed by a healthcare provider or yourself), and Connective Tissue Disease Similarly Affected Family Members: mother and aunt Pedicures: No Do You Wear Boots: No Lipedema Worsened By: puberty, oral contraceptive pills, and My lipedema has significantly increased since 2021. I suspect that inflammation has spiked during this time - due to chronic stress & anxiety. Swelling Occurs With: standing, sitting, end of day, and summer Previous Treatments: Elevation (no change), Compression Garments for 12 weeks or more (Temporary pain relief & edema reduction ), Manual Lymphatic Drainage for 12 weeks or more (Temporary pain relief & edema reduction ), Sequential Pumps for 12 week or more (Temporary pain relief & edema reduction ), Diet (Low Carb (Helped with pain - no change with physical symptoms ), Fasting (no change), Keto (Helped with pain - no change with physical symptoms ), Calorie Restriction (no change), Intermittent fasting (no change), Small meals after bariatric surgery (no change), Mediterranean (Helped with pain - no change with physical symptoms ), Anti-inflammatory (I believe it has helped with inflammation, however, no change physically ), and Gastric Bypass (no change)), Medication (Phentermine), and Exercise, vibration plate, acupuncture, mayofascia release treatments, pneumatic pump, vein treatments, gastric bypass Difficulty Walking: Yes (trips easily and Leafs extremely heavy, I do not walk in proper form because I have lobules in between my tight. I’m extremely fatigued & in pain with walking even short distances) Flexibility: Very Flexible Cooler Areas: Feet & hands Easy Bruising: legs, thighs, calves, abdomen, buttocks, and arms Pain: all the time (Average Pain Score: 7 out of 10), with movement (Worst Pain: 8 out of 10), when touched (Lowest Pain: 4 out of 10), and when sleeping 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 some 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 much 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: With a little difficulty 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 |
---|---|---|---|---|
Jaime Schwartz | Doctor | 1336397660 | 240 S La Cienega Blvd Ste 200, Beverly Hills, CA 902113324, US | 3108825454 |
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