MSH|^~\&|EMDAT||||20070613094245||MDM^|12345678|P|2.2|||||
EVN||20070613094245|
PID|||012345||Smith^John||19411215|||||||||||6053241|||||
PV1||O||||||||||||||||||||||||||||||||||||||||||||||||
TXA|1|Letter||||20070611110231|20070612131400||34505||IEMDAT|12345678|0|||||||||||
OBX|1|TX|||I saw John Smith earlier today.  He continues to do very well. |
OBX|2|TX|||He gets occasional paresthesias but is fully functional.  He remains |
OBX|3|TX|||on Neurontin between 1000 and 1200 mg a day.  He remains on Curcumin, |
OBX|4|TX|||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 regular.  |
OBX|9|TX|||He has normal gait and station.  Romberg sign is negative.  Strength |
OBX|10|TX|||is normal.  Reflexes are 2+ in the uppers, 2+ at his knees, and 1+ at |
OBX|11|TX|||his ankles.  His toes are silent bilaterally.  Pin is intact.  |
OBX|12|TX|||Position is minimally decreased in his right toe tip.  |
OBX|13|TX|||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 progression of |
OBX|18|TX|||his neuropathy.  I told him I would like to see him again at the end |
OBX|19|TX|||of the year and will contact you.|