MSH|^~\&|MEDS||ICIS|MRI|200706130933||ORU^R02|12345678|P|2.3.1|||||
PID||||012345|Smith^John^||194112150000||||||||||||||
OBR||6053241|||||200706110000|||||||||X140455|||||0|200706121314|||F||||||||||bk |
OBX|1|FT|||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.  @LF@ @LF@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.   @LF@ @LF@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.  @LF@|