MSH|^~\&|ISERIES|01|XXX|XXX|20070613092214||ORU^R01|12345678|P|2.3|
EVN|O01|20070611000000
PID|||012345||Smith^John^||12/15/1941||||^^^^||||||||
PV1|||||||^Johnson^Michael^|^Johnson^Michael^||||||||||||
OBR||6053241||6053241|||20070611110231|||||||||^Johnson^Michael||||||200706121314|||F||||||||||bk|
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.}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl3\pndec\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang {\pntxta )}}{\*\pnseclvl5\pndec\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl6\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl7\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl8\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7015785 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid1918729 Study: }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7015785  \par }\pard \ltrpar\ql \fi720\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7015785 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7015785 \par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7015785 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid7015785\charrsid1511622 Reason for Procedure:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid1918729  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7015785 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7015785\charrsid3243079 \par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16478526 \par I saw John Smith earlier today.  He continues to do very well.  He gets occasional paresthesias but is fully functional.  He remains on Neurontin between 1000 and 1200 mg a day.  He remains on Curcumin, and evidently his myeloma is under control.   \par   \par On exam today, blood pressure is 120/78.  Pulse is 76 and regular.  He has normal gait and station.  Romberg sign is negative.  Strength is normal.  Reflexes are 2+ in the uppers, 2+ at his knees, and 1+ at his ankles.  His toes are silent bilaterally.  Pin is intact.  Position is minimally decreased in his right toe tip.  Otherwise, sensation is normal.    \par   \par In summary then, Mr. Smith is doing well, with no progression of his neuropathy.  I told him I would like to see him again at the end of the year and will contact you.   \par  \par }\pard\plain \ltrpar\s15\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16478526 \par \par \par \par }\pard \ltrpar\s15\qr \li4320\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin4320\itap0\pararsid1918729 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1918729 _____________________________________\par }\pard\plain \ltrpar\ql \li4320\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin4320\itap0\pararsid1918729 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \v\insrsid1918729 <*DictDrFirst 07 4 0>}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1918729 Michael }{\rtlch\fcs1 \af0 \ltrch\fcs0 \v\insrsid1918729 <*DictDrLast 13 4 0>}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1918729 Johnson, M.D. \par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid9007168 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9007168\charrsid5202412 \par \par }\pard\plain \ltrpar\s15\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9007168 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9007168\charrsid5202412 ***Unsigned transcriptions represent a preliminary report and do not reflect corrections, additions and/or subtractions to the information contained in this report.***}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16478526\charrsid5202412 \par }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16478526 \par }\pard\plain \ltrpar\s15\ql \li0\ri0\widctlpar\tx720\tqc\tx4320\tqr\tx8640\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16478526  \par }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16478526 \par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16478526 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \v\fs20\insrsid16478526\charrsid7015785 <*DictInit 02 4 0>}{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid16478526\charrsid7015785 MS/}{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \v\fs20\insrsid16478526\charrsid7015785 <*TranInit 02 4 0>}{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid16478526\charrsid7015785 bk \par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid16478526\charrsid7015785 D: }{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \v\fs20\insrsid16478526\charrsid7015785 <*DictDT 19 5 :=%m/%d/%Y %H:%M:%S>}{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid16478526\charrsid7015785 06/11/2007 11:02:31 \par T: }{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \v\fs20\insrsid16478526\charrsid7015785 <*TranDT 19 5 :=%m/%d/%Y %H:%M:%S>}{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid16478526\charrsid7015785 06/12/2007 13:14:00 \par JOB #: }{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \v\fs20\insrsid16478526\charrsid7015785 <*JobNo 06 9 :=L:r6>}{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid16478526\charrsid7015785 12345678 }{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid16478526 \par }{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid7015785 \par Copy for: }{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid7015785\charrsid1968664 }{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\insrsid7015785\charrsid7015785 \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16478526 \par }}|