MSH|^~\&|DICT|EMDAT|OACIS||20070613093921||ORU^R01|12345678|P|2.2|||||
PID|||012345^^^||Smith^John^|||||||||||||6053241^^^||||
OBR|||12345678^^^EMDAT|Letter^Letter^||20070612|20070611|20070612||||||||^Johnson^Michael||||||||||||X140455^Thomas^Jones~|^0||||||bk|
OBX|1|TX|||DATE OF SERVICE: June 11, 2007~~~RE: Smith, John~MR#: 012345~DOB: 12/15/1941~~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.  ~~~Michael Johnson, M.D.~~~~CC:~Jones Thomas, MD~~Job #: 12345678~~MD#~bk||||||F|