MSH|^~\&|EMDAT||||20070613092648||ORU^R01|12345678|P|2.2|||||
PID|||012345||Smith^John||19411215|||||||||||6053241|||||
ORC|RE||
OBR|||||||20070611||20070612||||||||||||||||P|||X140455^|Jones Thomas^|||34505^Johnson^Michael|||bk||
OBX|1|TX|||I saw John Smith earlier today.  He continues to do very |
OBX|2|TX|||well.  He gets occasional paresthesias but is fully functional.  |
OBX|3|TX|||He remains on Neurontin between 1000 and 1200 mg a day.  He |
OBX|4|TX|||remains on Curcumin, and evidently his myeloma is under control.|
OBX|5|TX||||
OBX|6|TX||||
OBX|7|TX||||
OBX|8|TX|||On exam today, blood pressure is 120/78.  Pulse is 76 and |
OBX|9|TX|||regular.  He has normal gait and station.  Romberg sign is |
OBX|10|TX|||negative.  Strength is normal.  Reflexes are 2+ in the uppers, |
OBX|11|TX|||2+ at his knees, and 1+ at his ankles.  His toes are silent |
OBX|12|TX|||bilaterally.  Pin is intact.  Position is minimally decreased in |
OBX|13|TX|||his right toe tip.  Otherwise, sensation is normal.|
OBX|14|TX||||
OBX|15|TX||||
OBX|16|TX||||
OBX|17|TX|||In summary then, Mr. Smith is doing well, with no |
OBX|18|TX|||progression of his neuropathy.  I told him I would like to see |
OBX|19|TX|||him again at the end of the year and will contact you.|