MSH|^~\&|EMDAT||EPIC||200706130920||MDM^T02|200706130920|P|2.2|
EVN|T02|200706130920||||
PID|||012345||Smith^John||19411215|U|||||||||||
PV1|1||^^^Main|
TXA|1|Letter|TX|20070611|||||^Johnson^Michael|||12345678|||||AU||AV|||||
OBX|1|TX|||~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.  ~ ~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.   ~ ~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.  ~~