id
int64 391M
400M
| medical_history
stringlengths 5
9.11k
| complications
stringlengths 484
496
| medical_history_en
stringlengths 8
6.24k
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397,020,073
|
پسر بيمار تماس گرفت. همچنان اجابت مزاج نداشته است. لاكتولوز را به دستور دكتر مرندي مصرف كرده است اما اجابت مزاج فرقي نكرده است. توصيه به مصرف شياف بيزاكوديل و 6 ساعت پس از آن شياف گليسيرين شد. گفته شد در صورت عدم بهبودي مجددا فردا تماس بگيرند.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: True,
|
The son of the patient got in touch. He's still not feeling well. He's been taking L.D. 's, but he's not feeling well. He's been given a Band-Aid, and six hours later, a shot of Gleeson. They're told to call again tomorrow if they don't get better.
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397,020,133
|
بيمار جراحي فيكساسيون هيپ انجام داده و از بيمارستان مرخص شده اند. درخواست ويزيت دارند..تماس از بيمار جهت نمونه گيري.بعلت ضعف و بي حالي شديد به سختي صحبت مي كنند.كه به ايشان عرض شد پرستار نداريم و بايد خودشان اقدام فرمايند.
|
Patient requested a doctor's visit: True,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: True,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
The patient has a Ph.D., a hip replacement, they're out of the hospital, they're applying for a visa, they're asking for a sample, they're being frail, they're being told they don't have a nurse, they have to act on their own.
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397,020,206
|
تماس همسر . درخواست نمونه گيري آزمايش خون براي سه چهار روز ديگر..درخواست نمونه گيري آزمايش خون.آزمايشات رويت شد. خونريزي بوكال داشته و نمونه گرفته شده است. ترومبوسيتوپنيك است. پلاكت 1000 گزارش شده. دستور مراجعه فوري به بيمارستان داده شد..درخواست اعزام فيزيوتراپ.تماس پسر بيمار. سه روز است تغذيه PO خيلي كم شده و درخواست ويزيت دارند. رگ هاي بيمار شكننده شده است. راجع به NGT و PEG آموزش داده شد و ويزيت تا 24h هماهنگ مي شود.
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Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: True,
|
Wife's call. Request blood test for another three or four days. Request blood test. Rout test. He's got buccal fever. He's got thrombocytopenia. He's got platelet 1,000. He's got an emergency room order. He's got a physical therapist. He's got a son. He's got three days of malnutrition. He's got vitamin requests. He's got lesions in his arteries. He's been trained in NGT and PEG. He's got 24-hour coordination.
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397,020,231
|
همراه بيمار گزارشي از ادم زيرجلدي بيمار ميدادند فشارخون 8/6 بوده است قرارشد در اولين فرصت آزمايش خون انجام شود و فردا با مركز تماس بگيرند.همراه بيمار گزارشي از ادم زيرجلدي بيمار ميدادند فشارخون 8/6 بوده است پيگير ويزيت آقاي دكتر مرندي بودند قرارشد در اولين فرصت آزمايش خون انجام شود
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Patient requested a doctor's visit: True,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: True,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
Along with the patient, there was a report of underlying skin disease, an eight-sixth-grade hypertension, which was going to be tested on the first opportunity of the blood, and they called the center tomorrow.
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397,020,243
|
بيمار علايمي از دليريوم دارد يبوست دارد چند روز قبل به دنبال مصرف سيرابي حال بيمار بد شده است داروي يبوست در اختيار داشتند فشارخون 11/7 بود در مورد نحوه مصرف داروها توضيح داده شد.فرزند بيمار اعلام كرد بيمار بي اشتهاست سيروز دارد و از بيمارستان هم مرخص شده است اعلام ميكند نسبت به ديروز خيلي بدتر شده است توصيه شد شيرخشك انشور براي بيمار شروع شود.تماس پسر بيمار. از بيمارستان ترخيص شده اند ولي به علت حال عمومي بد و دليريوم ، درخواست ويزيت زود دارند.
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Patient requested a doctor's visit: True,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: True,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: True,
|
The patient had a history of diarrhea, and he had a fever, and a few days earlier, he had a seizure, and now he was sick, and he had a choice of fever, and he had 11/7, and he was explained how to use the medications. The son of the patient announced that he had a bad fever, and he was discharged from the hospital, and he was told that he had a much worse fever than the day before, and he was advised to start a diarrhea therapy. Thanks to the son of the patient. They were discharged from the hospital, but because of the bad general condition and diarrhea, they are applying for an early visa.
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397,020,245
|
بيمار مرتب دچار افت فشار خون و بيقراري ميشود دليريوم بيمار با دريافت سرم بهبود مي يابد با توجه به احتمال اختلال سديم مقرر شد روزانه يك سرم دريافت نمايد تا نوبت ويزيت بعدي.دختر بيمار تماس گرفت. به دنبال اعزام پرستار و ساكشن كردن، كمي خونريزي از دهان پيدا كرده است. توضيح داده شد كه مطلب مهمي نيست و در صورت قطع نشدن اطلاع دهند..دختر بيمار جواب آزمايش بيمار را ارسال كرده است. WBC=1876. Hb=12. Plt=281000. نياز به اقدام خاصي نيست.
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Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
The patient has consistently lowered blood pressure and becomes restless. The patient's diaphragm improves by having a headache. It's possible to have a sodium disruption. It's not possible to have a headache every day until the next visit. The patient's doctor calls. Following a nurse's order and anesthesia, there's a slight bleeding in the mouth. It's explained that it's not important, and if it's not interrupted, the patient's doctor sends in the patient's test results. WBC=1876. Hb=12. Plt=281000. There's no need for special intervention.
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397,020,255
|
همراه بيمار تماس گرفت نتيجه آزمايش خون بيمار را اعلام كردند هموگلوبين 7 و گلبول سفيد بيمار 22000بود هوشياري كاهش يافته است همراه بيمار اعلام كرد آنتي بيوتيك تجويز شده است جهت انتقال خون در بيمارستان راهنمايي شدند.همراه بيمار تماس گرفت روز گذشته از بيمارستان مرخص شده است لوله معده تعبيه شده است و از درد شاكي است در مورد نحوه مصرف آمپول مورفين راهنمايي شد در مورد گاواژ آموزش داده شد گاهي تنگي نفس دارد در مورد نحوه امانت گرفتن كپسول اكسيژن راهنمايي شد پدر بيمار در جريان داروها بود كه قرار شد نسخه تجويزي بيمارستان را تهيه و اعلام كنند.بيمار در بيمارستان بستري است چند روز در اي سي يو بوده است توسط جراح و متخصص گوارش هم ويزيت شده است درجاتي از انسداد مطرح شده است قرار شد به محض ترخيص اطلاع دهند
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Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: True,
Fever: False,
Respiratory complaints: True,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: True,
Gastrointestinal issues: False,
|
He got in touch with the patient, announced the results of his blood tests, his glucose was seven, his white blood was 22,000, his consciousness was reduced, he announced that the antibiotics were being administered to him in the hospital, he was discharged from the hospital the previous day, his pancreas was being monitored, he was suffering from pain, he was being advised on how to take amorphine, he was being trained on how to cough, he was sometimes short of breath, he was being advised on how to take an oxygen capsule, the father of the patient was in the flow of drugs, he was going to withdraw the prescription from the hospital and announce it, Bimar was in the hospital, he was in the ICU for a few days, he was being co-vised by the surgeon and the referral specialist, the degrees of blockage were being reported, he was going to report back as soon as possible.
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397,020,262
|
تماس دختر بيمار و شرح حال سرگيجه از دو هفته قبل. طبق شرح حال ، سرگيجه ، پوزيشنال است . با تشخيص افتراقي هاي زير ، آزمايش خون و دارو توصيه شد و در صورت عدم پاسخ ، MRI مغز انجام شود ، البته ساير علائم مغزي وجود ندارد. DDx : BBPV. آنمي. متاستاز مغزي..نتيجه آزمايش خون بيمار رويت شد هموگلوبين 8.1 بود قرار شد فردا با نتيجه آزمايش به بيمارستان اميد مراجعه تا جهت تزريق خون هماهنگي لازم انجام شود.بيمار به دنبال هموگلوبين پايين هفته قبل به بيمارستان مراجعه كرده اند مجدد آزمايش كرده اند 8/6 بوده است و بيمارستان اميد تاكيد داشته اند كه كمتر 8 تزريق خون انجام نميشود فعلا قرار شد يك ماه ديگر خون چك شود
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Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
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The patient's daughter's call and the patient's medical history from two weeks ago. According to the patient's medical history, the patient is post-operative. With poor underlying diagnosis, blood tests and medications were recommended, and in the absence of any response, MRIs of the brain were performed, of course there are no other brain symptoms. DDx: BBPV. NM: Brain metastases. The patient's blood test score was Robert's blood test score was 8.1. He was scheduled to come to the hospital tomorrow with the results of the test to be operated on for coordination.
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397,020,287
|
دختر بيمار تماس گرفت چند روز بيمار طپش قلب داشته است فشار خون 11 داروها را بطور نامرتب و كم استفاده مينمايد كليندامايسين را بعلت تهوع و استفراغ قطع كرده است اكسابين را نميخورد قرار شد داروها را مرتب استفاده كند و چند روز ديگر حال بيمار را گزارش نمايند.بيمار درد ساب كوندريال راست دارد با شك به مشكلات صفراوي درمان امپريكال توصيه شد جهت دريافت دارو مراجعه نمايند.بيمار همچنان درد دارد آنتي بيوتيك نگرفته است قرار شد آنتي بيوتيك تاوانكس تهيه و مصرف شود.تماس دختر بيمار. گزارش احتمال آسيت مجدد و درخواست ويزيت..درخواست ويزيت براي تپ آسيت و تنگي نفس بيمار..سوال راجع به واكسن كرونا. براي دريافت معرفي نامه به آقاي دكتر مرندي مراجعه نمايند..تماس از پسر بيمار كه مجددا شماره ي واتس اپ را جهت ارسال دريافت كردند..گزارش دختر بيمار از تاكي كاردي ، ضعف شديد و درخواست ويزيت.
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Patient requested a doctor's visit: True,
Complaints related to surgical wound site: False,
Drug reactions and side effects: True,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: True,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: True,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: True,
Gastrointestinal issues: True,
|
The daughter of the patient got in touch a few days later. The patient had a heart attack. She had a blood pressure of 11. She was taking 11 medications unnecessarily. She was taking Clindamycin because of diarrhea and vomiting. She wasn't taking aspirin. She was taking her medications regularly. She was reporting now a few days later. She has pain in her right abdomen. She's suffering from contractions of ammonia. She's still in pain. She's not taking her antibiotics. She's taking her T.B. vaccine. She's taking her antibiotics. She's suffering from diarrhea. She's breathless. She's talking about vaccine Cranny. She's referring to Dr. Mandy. She's also referring to her son. She's got a phone number to send back. The daughter of the patient received a phone number from Jackie Cardy. She's very weak. She's applying for vitamins.
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397,020,293
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با بيمار صحبت شدهر 3ماه يكبار چك آپ ميكند.بيمار اضطراب و استرس دارد و خواب بيمار دچار مشكل ميباشد داروي آلپرازولام مصرف ميكند كه با مصرف قرص بيان ميكند خواب بيمار بهتر شده است.اشتهاي بيمار خوب است و كاهش وزن نداشته استسال پيش مجددا عود بيماري داشته و 5جلسه شيمي درماني شده است.
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Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: True,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: True,
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He talks to the patient, he has a three-month check-up, he's stressed out, he's having trouble sleeping, he's taking medications like aspirin, which he says he's getting better, his appetite is good, he's not losing any weight, he came back last year and he's had five chemotherapy sessions.
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397,020,313
|
يكي از بستگان بيمار تماس گرفت گزارشي از خروج ترشح بدبو از كنار كلستومي به صورت فيستول داد قرار شد در اولين فرصت اين موضوع بررسي شود و فعلا آنتي بيوتيك استفاده نمايد
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Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
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One of the relatives of the patient called in, reported a fever rash coming out of the chest on the fistula, which was supposed to be the first opportunity to look at it, and it's not going to be antibiotics.
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397,020,314
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مادر بيمار تماس گرفت. اظهار داشت از ازدياد بزاق شكايت دارد و مرتب تف مي كند. 10 روز پيش يك دوره كمو شده است و حاضر به ادامه كمو نيست.با توجه به شرح حال گرفته شده به نظر حركت بيمار تيك است. قرار است فردا مشاور به منزل برود. قرار شد پس از مشورت با مشاور جهت رد تيك تصميم گيري شود و در صورت نياز جهت رد انسداد غدد بزاقي با آنكولوژ مشورت شود..مادر بيمار تماس گرفت گزارشي از درد تمام بدن بيمار داد اعلام كرد بنا به توصيه پزشك معالج جهت كنترل درد از شيره ترياك و استامينوفن كديين استفاده مينمايد قرار شد علاوه بر آن شياف ديكلوفناك يا آمپول دگزامتازون استفاده نمايد.جواب CBC : پلاكت : يك ميليون و 200 هزار. بقيه WNL. توصيه شد به پزشك معالج مراجعه كنند (آقاي دكتر آرش رييسي).بيمار از سوزش مجراي ادرار شاكي است سابقه سنگ ادراري ندارد سابقه عمل جراحي مجرا دارد سوزش در حد قابل تحمل بود تب نداشت با توجه به نوبت فردا صبح جهت ويزيت پزشك معالج قرار شد توسط ايشان درمان انجام پذيرد.مادر بيمار تماس گرفت. از عدم اجابت مزاج شكايت دارد. لاكتولوز نيز استفاده كرده اند اما بهبودي حاصل نشده است. توصيه به مصرف شياف بيزاكوديل و در صورت عدم اجابت مزاج شياف گليسيرين شد..مادر بيمار تماس گرفت. از درد شكايت دارد. شيره مصرف ميكند و از مصرف متادون امتناع ميورزد. توضيح داده شد كه مصرف شيره درست نيست و توصيه به مصرف 1/2 متادون 20 ميلي هر 12 ساعت شد. همچنين گفته شد استامينوفن 500 را منظم هر 6 ساعت مصرف كند. همچنين سرترالين و ترانكوپين نيز براي بهبود خواب بيمار و نيز خلق پايين و تحريك پذيري تجويز شد..مادر بيمار تماس گرفت. بيمار شربت متادون و شيره ترياك را با هم مصرف كرده است. خواب آلوده است و تهوع دارد. هوشياري خوب است و تنفس نيز با دستگاه اكسيژن مشكلي ندارد. توصيه شد يك قرص دميترون به بيمار بدهند و تا فردا نيز هيچ مخدري مصرف نكند..مادر بيمار تماس گرفت. از ضعف و بي حالي بيمار شكايت دارد. تغذيه PO بسيار كم است. درخواست پرستار براي وصل سرم دارند. با آقاي شعربافچي هماهنگ شد..مادر تماس گرفت. تغذيه كاهش يافته است. از ضعف و بي حالي شكايت دارد . از يك سال پيش جهت بهبود درد شيره ترياك مصرف مي كند. در حال حاضر روزانه 5 بار اندازه يك نخود مصرف مي شود.متادون شروع شده است ولي به علت بروز عوارض قطع شده و مادر اظهار مي كند كه هيچ دارويي براي ايشان موثر نيست.داروهاي ضد درد هم قطع شده . بيمار addict به شيره شده است. مجددا راجع ارحجيت مصرف اپيوئيد دارويي به ايشان گوشزد شد. درخواست رگ گيري جهت وصل سرم داشتند. نياز به آزمايش خون جهت رد آنمي هم دارند. با هماهنگي آقاي شعربافچي زاده پرستار به محل اعزام شد.بيمار نيازمند مشاوره روانشناسي است..تورم شكم و پشت پا دارد جهت درد شيره مصرف ميكند توصيه شد در صورت تنگي نفس پوزيشن مناسب داده شود فعلا اقدام بيشتري نياز ندارد.مادر بيمار تماس گرفت. از تورم اندام تحتاني بيمار تا مچ شكايت دارد. حجم ادرار را كم گزارش ميكند. توصيه به مصرف بيشتر مايعات شد..مادر بيمار تماس گرفت گزارشي از ضعف اندام و اتروفي عضلات ميداد بدن با مصرف ديورتيك تجويزي توسط آقاي دكتر رئيسي كاهش يافته بود فعلاً قرار شد از داروهاي تقويتي استفاده نمايند.مادر بيمار تماس گرفت. همچنان از عدم كنترل درد شكايت دارد و همچنان شيره مصرف ميكند. توصيه به مصرف دگزامتازون و همچنين شياف ديكلوفناك شد. همچنين توصيه اكيد به گرفتن نوبت از كلينيك درد دكتر شعربافچي شد..مادر بيمار درد شديد پهلوي بيمار را گزارش نمود همچنان از مصرف انواع مسكنها امتناع مينمايد فقط شيره ترياك را مناسب ميداند پيگير انجام سونوگرافي بودند.مادر تماس گرفت. از تهوع و سرگيجه شكايت دارد. دو عدد دميترون داده شده ولي بهبودي نداشته است. هفته گذشته با Hb = 7/8 يك بار پك سل تزريق شده است و Hb امروز 8 گزارش شده است. به گفته مادر در سونوي اخير مت كبد گزارش شده است و ظاهرا درن جهت تخليه اسيت در شكم تعبيه شده است. از سه روز پيش دفع نداشته است ولي دفع گاز مثبت گزارش شد. فشار 12 عنوان شد. تب ندارد. بيمار به دفعات مكرر از شيره ترياك استفاده مي كند. قرص پلازيل و در صورت عدم جواب آمپول دميترون عضلاني تجويز شد. قرار شد در صورت ادامه تهوع جهت ويزيت پزشكي مجددا اطلاع دهند. زخم بستر دارد. از نظر روحي نيازمند مشاوره است. اغلب اوقات در طول روز خواب است و مادر درخواست داشت تيم هاي مركز شبها مراجعه كنند. به نظر مصرف اپيوئيد بالاست. قرا رشد آخرين سونوي بيمار جهت ثبت در پرونده ارسال شود. جهت اعزام پرستار زخم با آقاي شعربافچي زاده هماهنگ شد..مادر بيمار تماس گرفت. در مدفوع بيمار خون شفاف ديده است. گفته شد با توجه به شفاف بودن خون و همچنين عدم افت فشار مسئله خاصي نيست. چرب كردن و جلوگيري از يبوست توصيه شد..مادر بيمار تماس گرفت تقاضاي مساعدت جهت خريد فوم هوشمند به منظور پيگيري از زخم بستر داشت قرار شد فردا با مددكاري تماس بگيرد.تقاضاي پرستار جهت خونگيري دارند.
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Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: True,
Psychiatric and psychological complaints: False,
Lymphedema: True,
Sleep disorders: False,
Loss of appetite: True,
Seizures: False,
Weakness and fatigue: True,
Decreased level of consciousness: True,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: True,
Urinary tract issues: True,
Pain: True,
Gastrointestinal issues: True,
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The mother of the patient called. She said she had a history of coughing and sneezing regularly. A period had been reduced 10 days ago and she is not going to continue. Based on the record, the patient appears to be in a coma. The counselor is going home tomorrow. The counselor is going to take a decision after consultation with the counselor to reject the treatment and consult with an oncologist if necessary to reverse the blockage of the coughing gland. The patient called. She has a history of coughing and sneezing regularly. The patient called. She has a history of coughing. She has a history of not responding to the mood. She has also used lactose but hasn't recovered. She has a history of using a non-essential fiber. She has a history of not responding to the mood. The patient called. She has a history of coughing. She uses a fiber and refuses to use methadone. She has a history of not using the right fiber and a recommendation of taking 1/2 methadone every 12 hours. She has a history of regularly taking 500 vitamins every 6 hours. She has a history of taking corticosteroids and taking therapy to improve her sleep and also to create a low appetite. The patient called. The patient called. She has a history of taking methadone and coughing. She is well conscious and breathing without problems with the oxygen machine. She has a history of taking a diuretic pill and not taking any drugs until tomorrow. The patient called. She has a history of being weak and sneezing. PO nutrition is very low. The nurses asked to connect my head. The patient called. She has a history of being weak and sneezing. She has a history of being weak and sneezing. She has a history of consuming coughing five times a day. Methadone has started but has stopped because of complications and the mother said no drugs are working for them. The patient has a history of being addicted to the fiber. She has again heard about the epidemic of taking opioids. The nurses asked to connect my head. They need to test my blood. The patient called. The patient called to the place. The patient called the psychologist. The patient called to the place. The patient called. She has a history of not using methadone and refuses to use methadone. The patient called. She has a history of not using methadone and a recommendation of taking 1/2 methadone every 12 hours. She has a history of taking 500 vitamins every 6 hours. She has a history of taking corticosteroids and taking therapy to improve her sleep and also to create a low appetite. The patient called. The patient called. The patient called. She has a history of taking methadone and coughing. She is sick and sneezing. She is well conscious and breathing without problems with the oxygen machine. She has a history of not taking any drugs until tomorrow. The patient called. She has a history of being weak and sneezing constantly. PO nutrition is very low. The nurses asked to connect my head. The patient called. She has a history of being weak and sneezing regularly. The patient called. The patient called to the place. The patient called. She has a history of being weak and sneezing regularly. The patient called. The patient called to the place. The patient called. She has a history of not using methadone but hasn't recovered. The patient called to the place. The patient called to the place. The patient called. The patient called to the place. The patient called to the place. The patient called to the place. The patient called to the place. The patient called to the place. The patient called to the place. The patient called to the place. The patient called to the place. The patient called to the place. The patient called to the place. The patient called to the place. The patient called to the place. The patient called to the place. The patient called to the place. The patient called to the place. The patient called to the place. The patient called to the place. The patient called to the hospital. The patient called to the hospital. The patient called to the hospital. The patient called to the hospital. The patient called to the hospital. The patient called to the hospital. The patient called to the hospital. The patient called to the hospital. The patient called to the hospital. The patient called to the hospital. The patient called to the hospital. The patient called to the hospital. The patient called to the hospital. The patient called to the hospital. The patient called to the hospital. The patient called to the hospital.
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397,020,324
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تماس دختر بيمار .مسكن هاي تجويزي آقاي دكتر شعرباف ، با مشورت گرفتن از پزشكان مختلف ، تغييرات زيادي داشته ولي همچنان درد كنترل نيست . اكنون اكسي كدون 5 ميلي را هر 8 ساعت استفاده مي كنند . پرگابالين و ملوكسيكام و استامينوفن كدئين و قرص دگزامتازون و ترامادول DC شد. دوز بقيه مسكن ها افزايش يافت ، NSAID (به همراه PPI ) موقتا اضافه شد تا دو روز آينده به كلينيك درد مراجعه نمايند. فعلا قصد انجام MRI ندارند..پرستار اعزامي جهت وصل زومتا تماس گرفت تب بيمار 39 درجه بقيه علايم حياتي قابل قبول سوند ادراري ندارد سرفه نداشته است علايم گوارشي نداشت با توجه به دريافت كموتراپي خوراكي اولين دوز آنتي بيوتيك به همراه آزمايش خون توصيه شد.تماس دختر بيمار و گزارش درد. قرار بوده به كلينيك درد مراجعه نمايند ولي امروز را فراموش كرده اند. در ويزيت اخير آقاي دكتر شريفي ، دوز اكسي كدون ، هر 8 ساعت 15 ميلي گرم شده و هنوز هم درد كنترل نيست و مجددا ديشب از ترامادول كمك گرفته اند. قرار شد تناوب اكسي كدون هر 6 ساعت شود و پسفردا به آقاي دكتر شعرباف مراجعه نمايند..همچنان از درد شديد شكايت دارد به طوريكه نمي تواند راه برود يا حتي از جايش بلند شود.به كلينيك درد مراجعه كرده و امروز داروها را تهيه كرده اند.5 دقيقه قبل اكسي كدون ER 40 ميلي گرمي طبق تجويز جديد به بيمار داده اند.توصيه شد كمي صبر كنند تا دارو اثر كند.در صورتيكه دارو اثر نكرد يا بيمار همچنان درد شديد داشت تماس بگيرند تا جهت اقدام بعدي جهت كنترل درد با دكتر شعربافچي مشورت شود.نمي تواند دستشويي برود و تمايل به پوشك و لگن ندارد و سوند را ترجيح مي دهد ..درد همچنان ادامه دارد.با اكسي كدون ER كمي و مدت كوتاهي بهبود داشته ولي مجدد درد شروع شده كه مورفين تزريق شده و با داروهاي آرام بخش خوابيده و مجدد از 6 صبح امروز درد شديد امان بيمار را بريده است.قرار شد با جناب دكتر شعربافچي مشورت و جواب به اطلاع همراه بيمار رسانده شود..بيمار همچنان از درد پاها شاكي است درد از ناحيه كمر شروع شده و درون هر دو پا احساس مي شود با توجه به نوع درد قرار شد پرگابالين هر 12 ساعت در كنار ساير مسكن ها استفاده نمود ه و نتيجه را چندروز آينده گزارش نمايد.در تصوير ارسالي از گوش بيمار زخم بستر گريد 2 روي لاله گوش داشت توصيه به مصرف اسپري نيواشا شد.تب بيمار چند ساعت پس از دريافت سرم وآنتي بيوتيك تزريقي قطع شده است امروز امكان دادن آنتي بيوتيك تزريقي را بعلت خراب شدن IVنداشته اند بصورت خوراكي ادامه يافته است درد شديد پاها دارد قرار شد يك دوز دگزامتازون ديافت كند و در صورت پاسخ نسبي تا چند روز ادامه يابد.بيمار به دنبال تبهاي مكرر قبلي در بيمارستان بستري شده است كشت خون انجام دارو داده اند انوكساپارين هم دريافت كرده از روز قبل لخته هاي خون در مدفوع داشته اند توصيه شد چند روز انوكساپارين قطع شود
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Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: True,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: True,
Gastrointestinal issues: False,
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The patient's daughter's call. Paediatric pills Mr. Liub⦠Dr. Liub⦠Dr. Liubâ¦, in consultation with various physicians, made a lot of changes, but the pain is still not controlled. He now uses 5 milligrams of oxytocin every 8 hours. Progabine, and melatocin, and aspirin, and a dose of DC oxytocin. The rest of the pills were increased, the NSAID was temporarily added to the patient's clinic for two days. They are not going to do an MRI. Sending questionnaire to Zomma contacted. Patient's fever was 39 degrees. The rest of the symptoms were unacceptable. He had no coughing. He had no vomiting. Depending on the cognitive therapy received, the first dose of anti-inflammatory ATC was recommended along with a blood test. The patient's daughter's call and the pain report. She was supposed to be in the clinic, but she forgot today. In the latest visit by Dr. Sharifi, the oxytocin dose was 15 milligrams per 8 hours warm, and she is still not controlled, and again she was dehydrated. She was supposed to be in the clinic every 6 hours and she was referred to Dr. Liub⦠Dr. Liubâ¦. She also suffers from severe pain, so she cannot walk or even get up. She was referred to the clinic today and they administered the medications. Five minutes before the ER, 40 milligrams of oxytocin was recommended along with a blood test. She was advised to wait a little while for the medication to work, in case the medication did not work or the patient was still in severe pain, to contact Dr. Liub⦠to consult with Dr. Liub⦠for further action to control the pain. She can't walk and doesn't like to put on a pillow and keeps sleeping. The pain continues. With oxytocin, the ER recovered for a short period of time, but the pain started again, and the patient was treated and laid down with calm medications, and from 6 a.m. today, she was advised to consult with Dr. Liub⦠Dr. Liub⦠Liubâ¦'s legs are still in pain, and the pain started in the lower part of the legs, and it is felt in the lower part of the legs, depending on the type of pain. Progabine was used every 12 hours along with other medications, and the result was reported a few days ago. In the image sent to the injured ear of the patient, two coughs on the coughs on the coughs, the patient was advised to use an injection of Newark⦠Dr. Liub⦠continued to allow the anti-inflammatory ATC, in addition to the deterioration of the IV, to be administered a dose of anti-inflammatory ATC, and the pain is continuing to be felt in the lower part of the legs, in response to a few days ago.
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397,020,326
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همرا بيمار آزمايشات بيمار را ارسال كه هموگلوبين 7/8 بود مقرر شد در اولين فرصت جهت ترانسفيوژن خون به درمانگاه داخلي بيمارستان مراجعه نمايد تا هماهنگي لازم انجام شود.همسر بيمار تماس گرفتند . شكايت از درد. فقط گاباپنتين كه قبلا براي كنترل درد زونا برايشان تجويز شده بود را به بيمار مي دهند و فقط دو ساعت موثر است. توضيح داده شد كه اين روش كنترل درد صحيح نيست و نياز به مراجعه به كلينيك درد وجود دارد. استامينوفن 500 هر 6 ساعت توصيه شد و افزايش دوز گاباپنتين تا زمان مراجعه به آقاي دكتر شعرباف يا آقاي دكتر مرندي..بيمار تنفس هاي صدادار داشته و احتياج به سونداژ دارد در اولين فرصت ويزيت در منزل توسط تيم هماهنگ شود.دختر بيمار تماس گرفت. اظهار داشت بيمار تنفسش به سختي است و با دهان باز نفس مي كشد و از دو اتاق مجاور هم صداي تنفس ايشان شنيده مي شود و قادر به خروج ترشحات پروداكتيو نيست.نسبت به ويزيت دو روز قبل حالش بدتر شده است. لقمه غذا را در دهان نگه مي دارد و بلع به سختي است. هوشياري هم كمي افت كرده است. فشار 80/30 و پالس 125 گزارش شد.متاسفانه پالس اكسي متر نداشتند. به ايشان توضيح داده شد كه طبق ويزيت 2 روز پيش و علايم فعلي حال بيمار خوب نيست و ظاهرا فاز پايان حيات شروع شده است و مي توانند در صورت تمايل بيمار را به بيمارستان ببرند كه اظهار داشتند مايل به اين اقدام نيستند. با اقاي شعرباف جهت اقدامات لازم جهت ساكشن ترشحات و ويزيت پرستار يا پزشك تماس گرفته شد.قرار شد پرستار آنكال براي بيمار اعزام شود و وضعيت و علايم حياتي به اينجانب گزارش شود..بيمار توسط اقاي واعظ ويزيت شد. حال عمومي خوب نيست .هوشيار است .قادر به صحبت كردن اندك و قابل فهم هست. پس از ساكشن ترشحات توسط ايشان و تنظيم اكسيژن O2 sat: 88 گزارش شد. از نظر پرستار محترم هم حال بيمار چندان مطلوب نيست . به خانواده پيشنهاد بيمارستان داده شده ولي علاقه اي به بستري ندارند . به دليل كاهش تغذيه خانواده درخواست سرم غذايي داست . با دخترايشان صحبت كردم. با توجه به اينكه مصرف غذاي ميكس شده ادامه دارد قرار شد فعلا براي بيمارسرم قندي نمكي د رحد maitenance شروع شود و در روزهاي آينده با توجه به حال عمومي جهت شروع سرم غذايي تصميم گيري شود و فعلا صلاح ديده نشد.
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Patient requested a doctor's visit: True,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: True,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: True,
Fever: False,
Respiratory complaints: True,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
Sending the same patient to an in-patient trial that was scheduled for August 7th at the first opportunity to deliver blood transfusions to an in-patient clinic to make the necessary coordination. All the patients were called in. Pain complaining. Just giving the patient the pravastatin that had been pre-administered to control Zona's pain and only working for two hours. It was explained that this is not the right way to control pain and that there is a need to go to the pain clinic. A 500-gram aspirin was prescribed every six hours and an increase in the dose of pravastatin was prescribed until the time of referral to Dr. Levyoff or Dr. Randy. The patient's nurse was called in. She said that the patient was breathing difficultly and breathing open-mouthed and was hearing their breathing noise from two adjacent rooms and was unable to extract the secretions. The patient's condition was worse with the vitamins two days earlier. She kept the condoms in her mouth and was breathing difficultly. Her consciousness had decreased a little. Pulse 80/30 and 125 were reported. Unfortunately, the oxygen meters were not reported. She was explained that she was not feeling well with the vitamins two days ago and apparently the end phase of her life had begun and that they could take the patient to the hospital if the patient was inclined to do so and they were not willing to do so. The nurse was called in with Dr. Levyoff to make the necessary measures to stop the secretions and the patient's vitamins, and the nurse or the physician was called in. The patient's nurse was called in immediately. The patient's condition is not well. It's healthy. The patient's consciousness had decreased a little. The patient's consciousness had decreased a little. The patient's consciousness had decreased a little. Pulse 80/30 and 125 were reported. Unfortunately, the oxygen meters were not reported. The patient's consciousness had decreased a little. The patient's family was told that the family was not very well with the vitamins two days ago and they were not interested in feeding me. I talked to their daughters. Given the continued consumption of the mixed food, the glucose was going to start to decline for my patient for the coming days and the family was not interested in feeding me and the family was not interested in feeding me and the family was not interested in feeding me and the family was not interested in feeding me.
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397,020,335
|
بيمار از درد پهلو شاكي است درد مداوم بدون حالت سوزشي بدون ريفر به نقطه خاصي دارد مسكن توصيه شد.تماس دختر بيمار و جواب آزمايش در واتس اپ : WBD=8.3. neut=51%. Hb=16.2. Plt=207000. CRP=neg..تماس دختر و پسر بيمار.شكايت از سرفه ي مزمن از يك ماه قبل.بدون خلط گاهي همراه صداي خس خس.توضيحات لازم داده شد.مشكل ديگري را ذكر نمي كند.دارو تلفني تجويز شد.شست و شوي بيني روزانه توصيه شد.در صورت تداوم سرفه و بهتر نشدن به متخصص جهت بررسي بيشتر مراجعه كنند.
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Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: True,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: True,
Gastrointestinal issues: False,
|
The patient complains of excruciating pain, persistent pain, non-inflammatory, non-respiratory to a particular point. Anesthesia is recommended. Patient's daughter and test response on WhatsApp: WBD=8.3. neut=51%. Hb=16.2. Plt=207000. CRP=neg. Patient's daughter and son. Chronic cough symptoms from a month ago. No seizures associated with coughing, no seizures associated with coughing. Needed explanations. Doesn't mention any other problem. Has been dialed. She's been recommended for day care. Should she continue coughing or should she not be better, visit a specialist for further examination.
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397,020,364
|
بيمار پس از دريافت سرم لرز پيدا كرده است با تاكيد بر تداوم دستورات پزشك قرار شد شياف استامينوفن هر 6 ساعت دو عدد دريافت نمايد و پيگير اقدامات توصيه شده باشد.دختر بيمار تماس گرفت بيمار سرم و آنتي بيوتيك دريافت ميكند از شب گذشته دفع خونابه ادرار و ترشح بدبو از مجراي ادراري داشته است توصيه به انجام آزمايش و كشت روي نمونه مذكور شد تا بر اساس آن در صورت نياز آنتي بيوتيك ادامه يابد
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: True,
Pain: False,
Gastrointestinal issues: False,
|
The patient found a shake in the head after receiving it, insisting on following the doctor's orders and taking two doses of aspirin every six hours and taking the necessary measures. The patient's doctor called the patient, the patient's head and the antibiotics were received, and last night he had a fever and a vomiting from the urinary tract, and he was advised to test the male specimen, to follow the antibiotics if necessary.
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397,020,366
|
تماس دختر بيمار. شكايت از درد زياد با اكسي كدون 15 ميلي TDS و استامينوفن QID. دوز دارو افزايش يافت و توصيه شد در صورت عدم كنترل كامل درد ، به كلينيك درد مراجعه نمايند. جواب آزمايش بررسي نشد . پيگيري شود..جواب آزمايش بيمار را ارسال كردند. Hb: 8/6. INR: 2/8. توصيه شد جهت تزريق خون به بيمارستان مراجعه نمايند همچنين توصيه شد مصرف وارفارين را با همان دوز قبلي ادامه دهند..دختر بيمار تماس گرفت. گزارش هماچوري ميدهد. گفته شد وارفارين تا 3 روز Hold شود و بعد از 3 روز مجددا آزمايش گرفته شود..بيمار از روز كذشته دفع ادرار نداشته است احساس دفع دارد با توجه به هماتوري قبلي قرار شد به اورژانس مراجعه نمايد تا از نظر وجود ادرار و در صورت نياز عملكرد كليه بررسي شود.تماس دختر بيمار و شكايت از تداوم اسهال . لوپراميد به داروها اضافه شد. به جاي مورفين ، شيره به بيمار مي دهند..بيمار اسهال دارد به توصيه دكتر علوي لوپراميد مصرف ميكند داروي مخدر جهت كنترل درد مصرف ميكند كم شده ولي بهبود نداشته است دارو توصيه شد و قرار شد چند روز آينده در موردوضعيت اسهال بيمار به مركز گزارش دهند.تماس دختر بيمار و شكايت از تداوم اسهال عليرغم مصرف مرتب تمام اوردر هاي قبلي كه با وجود زخم بستر ، مشكل زياد براي بيمار ايجاد كرده است. لوپراميد با ديفنوكسيلات جايگزين شد ولي به علت مصرف همزمان مخدر اكسي كدون و شيره ، با دوز كم شروع شد. نتيجه را اطلاع دهند. متاسفانه توصيه هاي غذايي نيز موثر نبوده است..دختر بيمار اظهار ميدارد كه از زمان خالي كردن بگ ادراري تا تقريبا 24 ساعت ادرار ندارد ولي در عرض كمتر از يك ساعت كيسه ناگهان پر مي شود.در واقع بصورت مقطعي احتباس ادراري دارد.درد در ناحيه شكم را گاه گاه ذكر مي كند.توضيحات لازم داده شد.يادشان نيست سوند دقيقا كي تعبيه شده.قرار شد سوند توسط خانم رسولي تعويض شود و بعد از تعويض سوند در صورتيكه اين علايم تكرار شد به اورولوژيست جهت مداخله مراجعه نمايد.در ضمن اسهال ندارند بلكه بي اختياري مدفوع پيدا كردند..دختر بيمار تماس گرفت. تغذيه PO بيمار كاهش يافته و تهوع نيز دارد. راجع به امكان تزريق سرم و آمپول تقويتي سوال داشت كه گفته شد بلامانع است. همچنين توصيه به مصرف دميترون شد..بيمار امروز صبح جواب آزمايش خون بيمار را فرستاده است قرار شد اكسابين ادامه يابد.دختر بيمار تماس گرفت. IV line بيمار خراب شده است. درخواست اعزام پرستار دارد كه هماهنگ شد..تماس دختر بيمار. مشكل سوند ادراري. امروز توسط خانم رسولي ويزيت مي شوند. شكايت از درد كه دوز اكسي كدون افزايش يافت. بيمار دليريوم نيز دارد (توهم بينايي) كه كوئتياپين با دوز بالاتر براي بيمار سبب سنگيني و لكنت زبان مي شود.بنابرين با هالوپريدون جايگزين شد.دو روز بعد پيگيري شود. با توجه به Hb=8.1 توصيه شد به فكر دريافت يك واحد PC در بيمارستان نيز باشند. داروها به روز رساني شد..بيمار تنگي نفس شديد دارد تلاش تنفسي زياد است اكسيژن خوب بوده است فشارخون چند روز قبل خوب بوده است استفراغ مكرر داشته است در اطرافيان گزارشي از كرونا نميدهد جهت بررسي علت تنگي نفس توصيه به 115 شد.بيمار در بيمارستان بستري است..بيمار دو روز قبل از بيمارستان با رضايت شخصي ترخيص شده.تست كرونا منفي بوده.امروز كه دختر بيمار ،بيمار را تعويض مي كرده متوجه خونريزي از مقعد بصورت خون روشن و زياد شده كه به همراه مدفوع شل و آبكي -كه مدت هاست دارد -بوده.توصيه به قطع آكسابين(مصرف از يك ماه قبل) تا 3 روز شد.علايم همراه ديگري را ذكر نمي كند.در بيمارستان 3 واحد پك سل دريافت كرده.همچنان تنگي نفس دارد كه توصيه به گرفتن كپسول اكسيژن شد.تماس مجدد و گزارش تشديد تنگي نفس.مراجعه ي فوري جهت دريافت كپسول.تماس با 115 در صورت عدم بهبود.تماس دختر بيمار. 4 روز قبل بيمار با خوردن هالوپريدول ، دچار اختلال تكلم و خيرگي چشم ها شده كه به بيمارستان منتقل شده ولي با رضايت شخصي از نگراني آلودگي كرونا ، ترخيص شده اند. امروز حال عمومي خوب است. تغذيه PO بهتر شده است. فقط با اكسيژن ، سچوريشن بالاي 90 است.امروز مجددا خونريزي و خروج لخته خون همراه با مدفوع داشته اند. با اينكه ريواروكسابان هنوز Hold بوده است. راجع به انتخاب بين ادامه يا قطع آنتي ترومبوتيك توضيح داده شد. با ادامه شك به كوويد داروهاي جديد توصيه شد و توصيه شد مراقبت هاي بهداشتي ادامه داشته باشد. ميرتازاپين نيز با ملاتونين جايگزين شد. HC زودتر نيز هماهنگ خواهد شد. امروز تب نيز داشته اند..دختر بيمار تماس گرفت.حجم خونريزي بيشتر شده و خون روشن بصورت مداوم از ركتوم دفع مي شود.دستگاه فشار سنج خراب است.توضيح داده شد شرايط بيمار در صورت حجم زياد خونريزي بحراني است و ممكن است دچار هايپو وولميك شوك شوند. در صورتيكه نبض انتهاي اندام را حس نمي كنند و ا انتهاي اندام سرد است حتما با 115 تماس بگيرند.در غير اينصورت ويزيت عصر هماهنگ شود..تماس دختر بيمار گزارش خرابي IV line. ويزيت پرستاري هماهنگ شد.
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Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: True,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: True,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: True,
Respiratory complaints: True,
Insurance/treatment cost issues: False,
Urinary tract issues: True,
Pain: True,
Gastrointestinal issues: True,
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Patient's daughter contacted. Severe pain complaint with 15 millimeter TDS and vitamin QID. Dosage of the drug increased and advised to refer to pain clinic in case of no full pain control. Test response was not found. Find out. Patient's test response was sent. Hb: 8/6. INR: 2/8. Recommended to refer to hospital for blood injection and also advised to continue with the prescribed dosage of varfarin. Patient's doctor contacted. Co-rapporteur's report. It was said that the varfarin should be held for 3 days and then re-examined after 3 days. Bemar did not pee from the previous day and feels like he's peeing, taking into account the previous co-rapporteur was sent to the emergency room to be examined for the existence of the urine and to be examined in case of urgent need. Patient's daughter and complaint about persistent diarrhea. Lipramide was added to the drug. They give the patient urine instead of morphine. Bemar is diarrhea at the recommendation of the administering physician Lipramide is taking the drug to control the pain but is not improving. The drug was recommended and was to report to the center a few days later on the patient's diarrhea situation. Patient's daughter and complaint about persistent diarrhea despite the consistent use of all the prescribed dosages of all the prescribed medications despite the wound in the bed, created a great problem for the patient. Lipramide was replaced with derivatives but due to the simultaneous use of the prescribed drugs of oxytocin and liquid, started with a low dose. Notify the result. Unfortunately, the feeding instructions were not effective either. Patient's doctor reported that he did not pee from the time of emptying the urine for almost 24 hours but within less than an hour the bag suddenly fills up. In fact, he has a periodic congestion of the urine. He occasionally mentions the urine in the area of the chest. The explanations were not needed. They were not told how they were properly treated. It was determined that the sleep was replaced by the delivery woman and after the replacement of the sleep in case of such a problem was repeated to the orthologist for intervention. They found no diarrhea but uncontrolled poop. Patient's doctor contacted. PO feeding was reduced and diarrhea is also diarrhea. Questions about the possibility of punishing the head and amputation were asked that was not allowed. Also the drug was recommended to be used. Patient's test response was sent to the center a few days later on the patient's diarrhea or diarrhea. Patient's IV line is broken. Nurse's request was sent to coordinate. Patient's daughter. Problem with urine. Pain complaint with the prescribed dosage of oxytocin is also (intermittently) causing the patient a higher dose of stones and gums. Patient's doctors with diarrhea and gums. Patient's doctors with diarrhea and gums. Patient's doctors with diarrhea and gums. Patient's doctors with diarrhea and gums. Patient's doctors with diarrhea and gums. Patient's doctors with diarrhea and gums were sent to the center a few days later on the patient's diarrhea or diarrhea. Patient's doctor contacted. Patient's contacted. IV line was sent to coordinate. Patient's daughter. Problem with urine was disrupted. Patient's are also (intermittently) causing the patient's diarrhea and gums. Patient's doctors with diarrhea and gums. Patient's doctors with diarrhea and gums were told that they were not improving. Patient's with diarrhea and gums. Patient's doctors with diarrhea and gums were told that they were not improving. Patient's with diarrhea and gums were not improving. Patient's were not satisfied. Patient's were not satisfied. Patient's were not satisfied with the results. Patient's were not satisfied with the results. Patient was not satisfied with the results. Patient was not satisfied with the results. Patient's were not satisfied with the results. Patient was not satisfied with the results. Patient was not satisfied with the results. Patient was not satisfied with the results. Patient's
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397,020,400
|
تماس از دختر. از 20 روز پيش راه نرفته به دليل عفونت ريه و مجاري تنفسي بستري شده. خيلي سرفه مي كند و خلط سفيد دارد. برم هگزين تجويز شد. توصيه هاي لازم ارائه شد. يك هفته ديگر وضعيت بيمار پي گيري شود و اگر افت PPD دائمي است وارد ليست HC شود.تماس از دختر. حال عمومي خوب نيست. ضعف شديد دارد. با كمك تا دستشويي مي رود. نياز به پرستار براي نمونه گيري. قرار شد براي تكميل مدارك و وارد شدن به ليست HC مراجعه كنند..دختر تماس گرفت. هفته پيش كمو شده است و در حال حاضر از فركوئنس و ديزوري شكايت دارد. درخواست UA و UC داده شد. سيپروفلوكساسين شروع شد و قرار شد با آماده شدن ازمايش ارسال شود. پيشنهاد مجدد تكميل پرونده داده شد..تماس از دختر سوال درباره كشت ادرار.تماس از دختر. ارسال جواب ازمايش دارو تجويز شد اموزش هاي لازم داده شد
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Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: True,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: True,
Insurance/treatment cost issues: False,
Urinary tract issues: True,
Pain: False,
Gastrointestinal issues: False,
|
Call from girl. She hasn't come in for 20 days because of pneumonia. She's coughing a lot. She's got a white rash. She's on probation. She's in Houston. Recommendations are being made. She'll be on probation in a week. She'll get her condition if PPD drops all the time. She's on probation. She's not doing well. She's very weak. She's going to be helped to wash her hands. She needs a nurse for a sample. She's going to be on probation to get her circuit back. She's on probation. She's on probation. She's on probation. She's on probation. She's on probation. She's on probation. She's on probation. She's on probation. She's on probation. She's on probation.
|
397,020,428
|
از بيمار CXR و تست هاي اوليه گرفته شده و كرونا براي ايشان مطرح است ولي جواب نهايي چند روز آينده آماده مي شود.جواب سي تي ريه در واتس اپ مشاهده شد:early COVID-19 pneumonia.توصيه شد در صورتيكه علايم تنفسي يا گوارشي شديد و تهديد كننده حيات ندارند در منزل در اتاقي جدا قرنطينه شوند.از هماتوشزي شكايت دارد كه توصيه شد نمونه خون گرفته شود تا در صورت نياز در بيمارستان خون تزريق شود..آزمايش كروناي بيمار مثبت گزارش شده است در مورد اصول مراقبت در منزل و علايم خطر آموزش داده شد.دختر بيمار تماس گرفت. تغذيه PO كاهش داشته است. همچنين گزارش دليريوم ميدهد. جهت گرفتن نمونه خون و تزريق سرم پرستار اعزام شد..تماس دختر بيمار. ارسال جواب آزمايش 99/6/17 در واتس اپ: Cr=7.49. Hb=4.5. توصيه شد بيمار به بيمارستان منتقل شود..تماس از دختر بيمار. شب گذشته در بيمارستان خورشيد بستري شده است. در حال بررسي از نظر GI ميباشد تا در صورت عدم مشكل دياليز شود. نگراني دختر از انجام نشدن دياليز كه توضيحات كامل در مورد عوارض دياليز بدون آمادگي داده شد. راجع به داروها امكان پرسش نبود..تماس از دختر بيمار. بيمار دو ماه قبل عمل جراحي كاتاراكت انجام داده اما در حال حاضر از نظر ين جراحي دچار مشكل است. پزشك جراح جهت عمل مجدد نياز به Ok قلب دارد كه به آقاي دكتر مرندي ارجاع داده شده است. با توجه به اينكه در سفر بودند درخواست شماره تماس دكتر را داشتند كه به ايشان توصيه به مراجعه حضوري در كلينيك داخلي شد..جهت مشاوره داخلي با آقاي دكتر مرندي راهنمايي شدند.با توجه به كراتينين بالا و كم خوني شديد توصيه به انتقال به بيمارستان شد.تماس دختر بيمار. حال عمومي بد. وابستگي به اكسيژن.درخواست ويزيت.ديروز دياليز انجام شده.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: True,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: True,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: True,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
The patient received CXR and the first tests, and Corona is available for them, but the answer is being prepared in the next nine days. The CT response was observed on WhatsApp: early COVID-19 pneumonia. She is advised to stay in a separate room at home in case of severe respiratory or circulatory disorders and life-threatening infections. She has multiple sclerosis, which she is advised to take a blood sample to be operated on in the hospital if necessary. The patient's coronary tests have been positively reported, the principles of care at home and risk are being taught. The patient's doctor has been contacted. PO diet has been reduced. He is also reporting diarrhea. She is being sent to the nurse's head to take a blood sample and be operated on. The patient's daughter. Test response sent on WhatsApp: 99/6/17: Cr=7.49. Hb=4.5. The patient is being referred to the hospital.. The patient's daughter. She was hospitalized in the solar hospital last night. She is examining her GIs to see if she has diarrhea. The patient's concern about not diarrhea, full explanations of diarrhea symptoms were given without ammonia. There was no question about the medications. The patient's daughter. The patient had undergone surgery two months ago in Calcutta but is now in trouble. The surgeon, in order to re-operate, needs an Ok heart, which was referred to Dr. Mandy. Considering that they were on a journey, they had requested the doctor's contact number, which was referred to them for an in-patient visit. During an in-patient consultation, Dr. Mandy was advised to take a blood sample and be operated on. Considering high blood sugar and low blood sugar, the patient is being referred to the hospital. The patient's daughter. Generally, bad. Dependent on oxygen. A request for gasoline. Diarrhea was made today.
|
397,020,430
|
با مادر همسر صحبت شد. هفته پيش جهت نگه داري به منزل والدين در تهران رفته است. پس از جراحي مهره هاي كمري گزارش متاستاز شده است. جهت دريافت خدمات از شعبه تهران راهنمايي شدند..درخواست پرستار براي وصل سرم
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
He talked to his wife's mother. She went to her parents' house in Tehran last week to be cared for, and after the amputation of her ankles, reports came back that she was being referred to the services of a Tehran branch, where she asked the nurses to stitch me up.
|
397,020,442
|
همسر بيمار تماس گرفت. بيمار بيقراري و گريه دارد. هشيار است و آگاهي به زمان و مكان و اشخاص دارد. مصرف دارو مرتب نبوده و هالوپريدول شب گذشته و اس سيتالوپرام امروز را به بيمار نداده اند. توصيه هاي دارويي مجددا انجام شد. در صورت بهتر نشدن اطلاع دهد..بيمار دو مرتبه استفراغ داشته است هوشياري بدون تغيير بوده است استفراغ خوني و كافي گراند نبود ادرار مرتب داشته است دفع مدفوع داشته است فشار خون را قرار شد چك كنند و در صورت بالا نبودن دميترون به بيمار بدهند.بيمار دو روز بعد از ويزيت در منزل اعلام نمود با تزريق دارو توسط تيم كاملا بيهوش شده است توضيح داده شد كه بايستي علل ديگر بررسي شود و با توجه به شرح حال تاوانكس روزانه توصيه شد مجدد امشب. تماس گرفت و ضمن اعلام شرح حال قبلي بيحالي بيمار را گزارش كرد با بررسي و پرسش مشخص شد هوشياري بهبود يافته و لي بيحالي همچنان باقيست لذا هيچ دارويي توصيه نشد تا ويزيت مجدد انجام شود.همسر بيمار تماس گرفت. اظهار داشت هوشياري بيمار افت كرده و قبلا با صدا زدن چشم ها را باز مي كرده ولي از ساعت 22 ديشب اين اتفاق نمي افتد. علايم حياتي گزارش شده : BP: 130/70 PR:113 O2Sat: 93 بگ ادراري صبح فول بوده كه تخليه شده است. با توجه به وجود متاستاز مغزي و شروع روند افت هوشياري از ويزيت دي ماه در اين مورد با همسر صحبت شد كه هوشياري بيمار با توجه به شرح حال داده شده افت بيشتري داشته ولي علايم حياتي stable است. اظهار داشتند به توصيه پزشكي خارج از مركز مجددا ديروز ام آر آي انجام شده و قرار شد گزارش آن يكشنبه به مركز تحويل داده شود. نياز به اقدامي در ويزيت فعلي ندارد.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: True,
Decreased level of consciousness: True,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: True,
|
The patient's wife called. The patient's restless and crippled. She's wise and aware of time and place and people. She's not taking her medication properly. She's not taking her haloperidol last night and her testosterone today. The pharmaceutical recommendations are made again. If she doesn't do better, let me know. She's had two periods of diarrhea, her consciousness remains unchanged. She's had a diarrhea and she's not expensive enough. She's had regular urination. She's had pooping. She's got blood pressure. She's been peeing. If she doesn't have a high blood pressure, let me know. She's been told she's completely paralyzed by the team. She's determined to look at any other causes. She's been referred back to the pharmaceutical records tonight. She's been called in during the pre-treatment review. She's recovered. Her consciousness remains stable. So there's no pharmaceutical recommendations to re-treat her. The patient's wife called. She said the patient's consciousness had gone down and she'd previously opened her eyes with a click of the shutter, but it's not happening since 22 o'clock at night. Vital signs reported: BP: 130/70 PR: 113 O2Sat: 93 Say the urine in the morning was فول that was was washed away. Given the metastatic state of the brain and the beginning of the decline in consciousness of the vitamin on Monday, the patient's consciousness has gone up, but the vital signs are stable. They've been told they've been referred back to the pharmaceutical records outside the center on Tuesday, and they're going to be referred back to the pharmaceutical records on Thursday. There's no need to act on the vitamin.
|
397,020,460
|
بيمار هفته گذشته در بيمارستان توسط خانم دكتر اشرفي ويزيت شده است همچنين تپ آسيت هم انجام شده است بيمار ضعف شديد پيشرونده دارد توصيه به مصرف انشور شد. از دو هفته قبل PPS بسيار افت دارد و براي مراجعه براي تپ آسيت بيمار اذيت مي شود..بيمار بسيار بيقرار و بي اشتهاست در خوردن داروها و غذا همكاري مناسب ندارد فعلا قرار شد در اولين فرصت براي وصل سرم يا لوله معده اقدام شود
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: True,
Seizures: False,
Weakness and fatigue: True,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
The patient was visited last week in the hospital by Dr. Ashraf Ghani, who also has a PTSD, who is a very advanced patient, who has been advised to take a shower, who has had a very low PPS two weeks ago, who is a deaf patient for PTSD, who is very restless, who is very stubborn, who doesn't eat adequate food and medicine, who is now going to have the first opportunity to operate on her head or her esophagus.
|
397,020,467
|
از يبوست شكايت دارد.يك هفته است اجابت مزاج نداشته.ملين لاكسي ژل و لاكتولوز را امتحان كرده اند.شياف بيزاكوديل گذاشته اند ولي باز اثر نداشته.توصيه به مصرف ملين ها به صورت منظم شد.توصيه به گذاشتن شياف هر 8 ساعت شد.در صورت عدم پاسخ توصيه به انما شد.علايم انسداد ندارد.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: True,
|
She's got a fever from E. coli. She's been in a coma for a week. She's had melamine, she's had laxazole, she's had lactose. She's had a Band-Aid, but she hasn't had efficacy yet. She's been on a regular diet. She's been on a diet eight hours a day. She's been on a diet if she doesn't respond. She's not blocked.
|
397,020,491
|
با دختر صحبت شد. هوشيار است ولي شنوايي و بينايي افت بيشتري داشته است. تغذيه كاهش يافته است. از هفته پيش دچار هماچوري شده است و در بيمارستان شريعتي جهت علت يابي بستري بوده است و نهايتا اظهار شده كه اين روند تا پايان حيات باايشان همراه خواهد بود. نيازمند ويزيت هوم كر است..تماس از دختر بيمار به دنبال Falling دچار شكستگي از چند نقطه شده و نياز به بريس دارد. به مددكاري ارجاع شد.تماس از دختر. چند روز است مقاومت مي كند و چيزي نمي خورد. نياز به تزريق سرم دارد. سرم غذايي به صورت الكترونيكي نسخه شد. لطفا ازمايش هاي دليريوم درخواست شود..با دختر صحبت شد. جواب آزمايشات هنوز حاضر نشده است . توصيه شد به محض آماده سازي اطلاع داده شود. حالعمومي پس از ويزيت بهتر است..تماس از همسر ارسال جواب ازمايش. حال عمومي خوب است. اشتها خوب است. در ازمايش ها لكوسيتوز 13300 ديده مي شود ولي با توجه به حال عمومي خوب و مصرف انتي بيوتيك نياز به اقدام ديگري ندارد.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: True,
Pain: False,
Gastrointestinal issues: False,
|
He talked to her. She's conscious, but her hearing and her vision have dropped a lot. She's had reduced feeding. She's had cough a week ago, and she's in the hospital on a convalescent basis, and it's been stated that this process will continue until the end of her life. She needs vitamin A. She has multiple sclerosis following Falling. She needs braces. She's being referred to a therapist. She's been resistant for a couple of days. She doesn't eat anything. She needs to be operated on. She's got an electronic prescription. Please ask her diamond dishes. He talked to her. The test results are not yet available. She's advised to be notified as soon as the prescription is made. She's in better condition after vitamin A. She's getting a response from her wife. She's in good condition overall. She's got 13300 kilocalories in her diamond dishes, but she doesn't need to do anything else because she's in good condition overall and consuming antibiotics.
|
397,020,519
|
همسر تماس گرفت. درخواست اعزام پرستار براي وصل سرم دارد.مهر ماه سال گذشته گزارش متاستاز آگزيلاري و پوست نيپل شده است و بيمار تحت كموي مداوم بوده است. در حال حاضر تحرك افت شديد داشته است. خواب مطلوب نيست.تاكنون همسر سرم را وصل مي كرده . در حين تماس جهت درخواست كمك از مركز به گريه افتاد. نيازمند ورود مجدد به شبكه مراقبت در منزل و ويزيت هوم كر دارد.به اطلاع اقاي شعربافچي زاده رسانده شد.متاسفانه پيگيري تلفني نشده است كه به اطلاع مسيول مربوطه رسانده شد.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: True,
|
My wife called. She asked for an ambulance to pick me up. Last month there was a report of Cesarean sections and epilepsy. She's under constant care. She's in great distress right now. She can't sleep. But she's picking me up. She's in distress. She needs to go back to the home care network. She's on vitamin A. She's being informed by Poe Piyushki. She's not being informed by the phone, unfortunately.
|
397,020,534
|
همراه بيمار تماس گرفت. تقاضاي اعزام پرستار دارد. براي فردا نوبت داده شد..تماس از دختر بيمار كه گفتند داروهاي پدرم تمام شده و عرض شد براي تجديد نسخه ي داروها بايد به پزشكشان آقاي دكتر مرندي مراجعه كنند.سوال در مورد ادامه ي سوستاك داشتند كه عرض شد با توجه به اينكه آقاي دكتر مرندي اين دارو را براي بيمار تجويز نمودند ادامه ي آن نيز از ايشان سوال گردد.سوال در مورد نياز به گرفتن نوار قلب داشتند كه از ايشان شرح حال گرفته شد و عرض شد فعلا نيازي نيست چون مشكلي ندارند.توصيه شد حتما لوبل را براي جلوگيري از تشنج سريعا شروع كنند.
|
Patient requested a doctor's visit: True,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
He called the patient. He asked for an ambulance. It was called tomorrow — a letter from the patient's daughter that said that my father's medicine was running out and that they needed to go to their doctor, Dr. Mandy, to re-evaluate the prescription. They had a follow-up question that was asked, given that Dr. Mandy had prescribed this medicine to the patient. They had a follow-up question that was given to them about the need for a heart stent, which was shown not to be necessary at the moment because there was no problem. It was suggested that they should take the pills quickly to prevent the seizure.
|
397,020,535
|
درخواست ويزيت و نوبت آمپول ماهيانه زومتا..تماس از دختر بيمار كه درخواست پرستار براي تزريق آمپول زولنا داشتند كه با آقاي شعرباف هماهنگ شد..تماس از دختر. درخواست پرستار براي تزريق زومتا.پيگيري اعزام پرستار جهت تزريق زومتا
|
Patient requested a doctor's visit: True,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
The request for a visa, and the delivery of the monthly Sommett pill — a letter from the daughter of a patient who had a nurse's request for a Sommett injection, coordinated with the poet — a letter from the daughter, a nurse's request for a Sommett injection.
|
397,020,542
|
بيمار پس از كموتراپي بدن درد دارد همين حالات را دفعه قبل پيدا كرده است و با دريافت آپوتل بهبود داشته است قرار شد مجدد استفاده نمايد.تماس دختر بيمار. كبد و كليه راست در CT اسكن خرداد 1400 ، درگير متاستاز گزارش شده و آقاي دكتر خاني ، كموتراپي را قطع كرده اند. شكايت از درد زياد . آموزش . راهنمايي براي تكميل پرونده.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: True,
Gastrointestinal issues: False,
|
The patient had pain after the treatment, had the same symptoms the previous time, had improved with the introduction of the optic — shouldn't be used again. "" Thanks to the patient's daughter. The liver and right kidney in the CAT scan on June 1400, metastatic reporting, and Mr. Khanni, the therapy was discontinued. Hypersensitivity to pain.
|
397,020,544
|
تماس عروس بيمار براي جواب آزمايش UA كه تقريبا نرمال است و فقط كريستال هاي كلسيم اگزالات گزارش شده كه توصيه شد مايعات دريافتي بيمار بيشتر شود.سابقه سنگ كليه نداشته اند. بيمار بيشتر اوقات خواب آلود است. دليريوم بيمار تشديد شده ولي داروهاي تجويزي آقاي دكتر شكراني را به بيمار نداده اند. توصيه شد داروها را با همان دستور شروع كنند و نتيجه را اطلاع دهند. راجع به NGT نيز توضيحات لازم داده شد..عكس زخم بيمار را ارسال كرده اند. توصيه به استفاده از كرمنيكا، اسپري نيواشا و فوم شد..بيمار خلط داخل گلو داشته است پزشك معالج توصيه كرده است توسط پاليتيو ساكشن شود توصيه هاي لازم شد و قرار شد فردا در صورت نياز جهت گرفتن دستگاه ساكشن مراجعه نمايد.همراه بيمار تماس گرفت. همچنان از خلط گلو شكايت دارد. توصيه به مصرف قرص NAC و فيزيوتراپي Chest شد..ادرار كاهش پيدا كرده و همراه عفونت است.توصيه به نمونه ادرار و سپس سيپروفلوكساسين.تماس از دختر بيمار به جهت زخم هاي بستر متعدد بيمار كه با توجه به شرح حالي كه مي دهند ظاهرا نكروزه و چركي شده ,درخواست اعزام پرستار زخم داشتند كه هماهنگ شد..دختر بيمار تماس گرفت. راجع به ادامه مصرف تاوانكس سوال دارد. زخم در ناحيه باتوك دارد كه بد بو است. توصيه به ادامه مصرف شد. همچنين توصيه شد مترونيدازول 250 نيز هر 8 ساعت مصرف كند.
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Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
The wife of the patient called to respond to the UA test, which is almost normal, and only the crystals of the electrolytes were reported to increase the absorption volume of the patient. They had no stones. The patient sleeps less often. The patient's diaphragm is delayed but the doctors have not given the patient the antidotes Mr. Gracie. They were advised to start the medication with the same prescription and report the results. The explanations were also given for NGT. They sent pictures of the patient's wound. The recommendation was to use Necca cramps, NISA sprays and foam. The patient had mixed inside the throat. The therapist had recommended that the patient be sedated with polyurethane. The recommendations were made and he was not going to be seen tomorrow if he needed to get a sedative. The whole patient was called. He was still complaining about mixing the throat. The recommendation was to take NAC pills and Chest physiology. The perception was reduced and it was associated with infection. The recommendation was to take urine samples and then ciprofloxacin. The daughter of the patient called to the multiple bedside wounds of the patient who, based on the descriptions that they gave, appeared to be swollen and feverish, requested an ambulance ambulance to be dispatched. The doctor of the patient called. She was inquiring about the continuation of Tavanx. She had a sore throat in a neighborhood of Bangkok that smelled bad. The recommendation was to continue. The patient was also advised to take methenidazole 250 every eight hours.
|
397,020,558
|
خود بيمار تماس گرفت از سوزش بدن و اندامها شاكي بود فعلا روزي 3 عدد گاباپنتين 300 استفاده مينمايد قرار شد هر سه روز يكبار آمپول نوروبيون استفاده نمايد.تماس همسر بيمار براي كنسل كردن HC پرستاري امروز..جهت هماهنگي نمونه گيري خون فردا صبح تماس گرفته بودند راهنمايي لازم شد.نتيجه آزمايشات ارسال شده است anti tpo >20.تماس از بيمار درخواست ويزيت
|
Patient requested a doctor's visit: True,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
The patient himself was called in to have his body and organs burned. There's now a three-day ban on 300-cab aspirin, a three-day ban on intravenous neurotransfusions. The patient's wife called in to have her H.C. nurse examined today. They called in to have her blood sampled tomorrow morning. Guidance was provided. Tests have been sent for anti-tpo >20. The patient requested vitamin A.
|
397,020,571
|
تماس بيمار. زير نظر آقاي دكتر بهراد منش فالو مي شوند با فاصله هاي يك ساله. بي اشتها شده اند و وزن كم كرده اند و احساس مي كنند حافظه نيز ضعيف شده است. توصيه شد به مراجعه زودتر نزد متخصص.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: True,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: True,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
Patient call. According to Dr. Bradley, they fade away within a year. They become overweight, they lose weight, and they feel that their memory is weak. They're referred to a specialist.
|
397,020,578
|
امروز نوبت ويزيت دكتر شاهبندري بود و در بيمارستان الزهرا بودند.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
It was Dr. Shahbazary's visit today, and they were in the hospital in Ezra.
|
397,020,585
|
برادر بيمار تماس گرفت. گزارش تشنج به صورت حركت سر و چشمها را ميدهد. دو روز است كه اين حالت به بيمار دست ميدهد و حدود 5 دقيقه به طول مي انجامد. در كل بيمار هوشيار است و موقع صدا زدن متوجه ميشود. گفته شد لوبل را هر 12 ساعت 1 عدد دريافت كند..برادر بيمار تماس گرفت. گزارش دسيترس تنفسي ميدهد. RR:65. توصيه شد با 115 تماس بگيرند..تماس مادر بيمار و گزارش تاكي كاردي گهگاهي. با توجه به تومور مغزي بيمار ، خيلي عجيب نيست و متورال توصيه شد..تنفس شين استوك.حال عمومي بد.توصيه به 115
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: True,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
The patient's brother got in touch. He reports a head-and-eye seizure. It's two days in the patient's hands and it lasts about five minutes. The whole patient's conscious and recognizes when they call. They're told they're taking a lobe every 12 hours. The patient's brother got in touch. He reports respiratory distress. RR:65. He's recommended to get in touch with 115. The patient's mother's call and occasional Takaaki Cardy's report. Due to the patient's brain tumor, it's not very surprising and metastatic. He was recommended to breathe Shin-Stok. Generally bad. Recommendation to 115.
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397,020,588
|
نتيجه آزمايشات را ارسال كردند احتمال كرونا مطرح ميباشد گلودرد دارد سرفه و تنگي نفس ندارد CRP= 54.5.سوال از واكسن.دخترتماس گرفت. گزارش كاهش بينايي داده شد و درخواست ويزيت جهت معاينه چشم داشت.درخواست ويزيت اطلاع داده شد..تماس دختر بيمار . چند نوبت استفراغ از روز قبل . ولي داروي استفراغ ، خيلي كم استفاده كرده اند. درد شكم منفي. دو روز قبل دفع مدفوع داشته اند. آموزش..درخواست فيزيوتراپي.دختر بيمار تماس گرفت. از ديروز به دنبال N/V سرم وصل كرده اند و هر 4 ساعت آمپول دميترون انفزيون ميكنند. امروز با وجود ادامه گرفتن سرم و دميترون مجددا استفراغ كرده است. راجع به افزايش دوز دميترون سوال داشتند كه گفته شد فعلا نيازي نيست و توصيه شد از تغذيه PO خودداري كنند و امروز بيمار فقط سرم دريافت كند..همسر تماس گرفت. با تزريق دميترون و NPO بيمار استفراغ قطع شده است و از ديروز استفراغ نداشته است. راجع زمان شروع غذا سوال داشتند كه قرار شد با حجم كم و دفعات بيشتر بسته به تحمل بيمار شروع شود. كپسول امپرازول 20تجويز شد. از ضعف و افزايش خواب شكايت داشت كه با توجه به عدم تغذيه دو روز گذشته راهنمايي شدند..تماس از همسر. انگشتان دست دچار كنتراكچر شده باكلوفن 12 ساعته تجويز شده كه به دنبال مصرف ان دچار خواب الودگي شديد شده و بيشتر از نصف قرص روزانه را تحمل نمي كند اما بهتر شده. توصيه شد هر روز انگشتان را با كيسه اب گرم ماساژ بدهند. از ديروز دچار گرفتگي ماهيچه ساق پا شده توصيه شد اب ميوه زياد بخورند و قرص روي مصرف كنند..تماس همسر. شرح حال تب. VS نرمال و stable. تجويز دارو براي كرونا و آموزش علايم خطر..همسر بيمار تماس گرفت. فراموش كرده بود كه بگويد ادرار به رنگ چاي شده. ايكتر ندارد. قرار شد فردا براي گرفتن نسخه ازمايش هاي كبدي مراجعه كنند
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Patient requested a doctor's visit: True,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: True,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: True,
Decreased level of consciousness: False,
Fever: True,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: True,
|
They sent out the results of the trials. There was a possibility of cancer. Glutamines. No coughing and shortness of breath. CRP = 54.5. He received a call from Wisconsin. He received a report of a decrease in vision and a request for an eye examination. A request for an eye examination was made. He received a call from the patient's daughter. Several diarrhea episodes from the previous day, but very little on the diarrhea medication. Negative chest pain. They had pox two days ago. Training. Physician's appointment. The patient received a call. They had been connected to the N/V for my head since yesterday and they injected a dose of DDT every four hours. Today, despite the continuation of the head and the diarrhea, he had again diarrhea. They had a question about the increase in DDT that was said to be unnecessary and was advised to take PO feeding, and today the patient just received the head. He received a call. The patient was cut off the diarrhea with DDT and NPO, and he had no diarrhea since yesterday. They had a question about the timing of the feeding that was supposed to start with a small dose and more times depending on the patient's tolerance. Amberolazole capsule was adjusted to 20 tablets. She was advised to weaken and increase sleep despite the diarrhea episodes from the last two days. She received a call from the patient. Her fingers had been adjusted to 12 hours of CCL for 12 hours of sleep deprivation and could not bear more than half a pill a day, but they were better. She was advised to massage her fingers every day with a hot water bottle. She had contracted a fever from yesterday. She was advised to take more fruit juice and take pills. She received a call. Statement of fever.
|
397,020,599
|
عروس بيمار تماس گرفت. بيمار در حال كموتراپي است. سه روز است تب دارد. با استامينوفن تب قطع نشده است. توصيه شد به بيمارستان مراجعه كرده و نمونه خون جهت آزمايش CBC گرفته شود..تماس از دختر. مدتيست كه حال عمومي رو به بدتر شدن است. نمي تواند از جا بلند شود. گاهي هذيان مي گويد. تهوع و ضعف شديد دارد. فقط مايعات مي خورد. وابسته به اكسيژن است. باتوجه به deteriorate شدن وضعيت و افت pps نياز به ويزيت زودهنگام دارد. لطفا مجددا وارد ليست HC شود.تماس از دختر. مدتيست كه حال عمومي رو به بدتر شدن است. نمي تواند از جا بلند شود. گاهي هذيان مي گويد. تهوع و ضعف شديد دارد. فقط مايعات مي خورد. وابسته به اكسيژن است. باتوجه به deteriorate شدن وضعيت و افت pps نياز به ويزيت زودهنگام دارد. لطفا مجددا وارد ليست HC شود.دختر تماس گرفت. گزارش ضعف و بي حالي داده مي شود. اظهار مي كند بيمار pale است.نيازمند چك آزمايش هستند. درخواست پرستار داده شد..آزمايشات رويت شد.هم.گلوبين 5.5 و لكوسيتوز با شيفت به چپ دارد. نيازمند تزريق پك سل است. دستور اعزام به بيمارستان داده شد..تماس از دختر بيمار. تغذيه به حدود صفر رسيده. دو هفته قبل با هموگلوبين حدود 2 ، 5 واحد PC در بيمارستان اميد دريافت كرده اند. وابسته به اكسيژن شده اند و با توجه به گزارش ندول در CT ريه 6 ماه قبل و پلورال افيوژن مختصر در آن زمان ، بهتر است بررسي با سونو براي احتمال لزوم تپ ، انجام شود. شماره تلفن ها مجددا چك شد..دختر بيمار تماس گرفت. بيمار فوت كرده و درخواست گواهي فوت دارند. هماهنگ شد.
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Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: True,
Decreased level of consciousness: False,
Fever: True,
Respiratory complaints: True,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: True,
|
The patient's wife called. The patient's undergoing intensive care. She's had a fever for three days. The fever hasn't been cured with aspirin. She's been referred to the hospital to get a blood sample to test for CBC. She's a girl. She's been in really bad shape for a long time. She can't stand it. She sometimes has hallucinations. She's got a fever. She's just taking her pills. She's addicted to oxygen. She needs an early-onset vitamin in view of the deterioration of her condition and the decline of her pps. Please come back to the HC list again. The nurse called. The patient's symptoms were urgently reported. She said she was pale. No tests were scheduled. Nurse's request was made. Routine tests were made. She had glucose 5.5 and oxytocin on the left-hand side. She needed an injection of CBC. She was ordered to be sent to the hospital. She was called by the patient's daughter. Feeding went to zero. Two weeks ago, with glucose, they got 2.5 units of hope in the hospital. They've been addicted to oxygen and given a report in the CT scan six months ago and a short prescription at the time, it's better to have a look at him to see if he's likely to have a fever. The phone numbers were called again. The patient's doctor called. The patient's dead and they're asking for a death certificate. Coordinated.
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397,020,619
|
ادم هر دو پا+اختلاف سايز +درد ران پاي راست.شك به DVT.در بيمارستان 10 عدد انوكساپارين براي بيمار تجويز شده بوده كه به اتمام رسيده و بعد از آن هيچ داروي ضد انعقاد ديگري مصرف نكرده.توصيه شد مجدد انوكساپارين روزانه مصرف كند تا ويزيت پزشك جهت سونوگرافي داپلر ازعروق پا هماهنگ شود..از سه روز قبل هيچ غذايي نمي خورد و NPO است.همچنين از سه روز قبل استفراغ مكرر و مداوم دارد.به گفته ي همسر استفراغ سياه رنگ است.شكم كار نكرده و كولستومي به گفته ي همسر گير كرده و مسدود شده.توصيه به مراجعه به بيمارستان شد.
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Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: True,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: True,
Gastrointestinal issues: True,
|
He had a condition of both legs + twists and turns + right thigh. He's about to get a DVT. There were 10 recommended doses of nicotine in the hospital that he had completed, and then he didn't take any other anticoagulants. He was told to re-dose nicotine every day to get the doctor's consent to do a diagnosis. He hadn't eaten anything for three days, he's an NPO, he's had frequent, recurrent vomiting for three days. His wife said he had black fever. He hadn't worked very long, and his colonoscopy was blocked, he was told to go to the hospital.
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397,020,638
|
سه روز قبل براي بيمار پورت تعبيه شده.همان روز ايشان تحت كموتراپي قرار گرفته.شب با حال عمومي نسبتا خوب ترخيص شده.از ديروز توان راه رفتن ندارد در واقع اختلال تعادلي دارد و زمين مي خورد.سرگيجه را ذكر نمي كند.ضعف و بيحالي شديدي دارد ولي هوشياري بد نيست و با صدا كردن جواب مي دهد و كمي حرف مي زند.خوراك دارد.جهت بررسي وضعيت عمومي ويزيت پزشك لازم دارد..بيمار يك هفته بستري بوده است روز گذشته از بيمارستان مرخص شده است پزشك معالج سرم تجويز كرده بود پرستار اعزام شد در زمان مراجعه پرستار كرونا مثبت و تب 39/4 دارد ضربان قلب 131 بود سرم وصل شد و استامينوفن جهت كنترل تب داده ميشود
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: True,
Decreased level of consciousness: False,
Fever: True,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
He's been monitored three days ago. He's under intensive care today. He's in a relatively good general condition the night before. He can't walk today. He's actually impaired in balance and he's sitting on the ground. He can't remember much. He's very weak and he's in bad shape, but he's not bad conscious. He responds with a loud voice and he can't speak very well. He's hungry. He needs medical attention in order to assess his overall condition. Bimar has been in bed for a week. He's been discharged from the hospital the last day. The attending physician has checked my head. The nurse is deployed at the time the nurse arrives. He's got C-section 39/4. He's got a heart rate of 131. He's got aspirin to control the fever.
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397,020,665
|
همسر بيمار تماس گرفته.بيمار از درد و بي قراري مدام ناله مي كند.با هيچ مسكني آرام نمي شود.راه اصلا نمي تواند برود.خوراكش بسيار كم شده.همسر بسيار گريه مي كند و تنهاست.ويزيت پزشك هماهنگ شد..بيمار همچنان در ICU بستري است.هزينه ها برايشان سنگين است مي خواستند با رضايت شخصي مرخص شود.توضيحات لازم داده شد.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: True,
Urinary tract issues: False,
Pain: True,
Gastrointestinal issues: False,
|
The patient's wife called. Bimarr is dizzy all the time. She's not getting well with any medication. She can't walk at all. She's very dehydrated. Everything's very tiring and lonely. The doctor's appointment. Bimarr's still in intensive care. The costs are heavy. They want to be released on their own. The explanations are given.
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397,020,666
|
دختر بيمار تماس گرفت. گزارش تورم مچ پا را ميدهد. ريواروكسابان 15 ميلي روزي دو عدد مصرف ميكند. توصيه به ادامه مصرف شد و نوبت سونو داده شد. همچنين توصيه شد حتي الامكان حركت نكند..تماس از دختر تهوع و اسهال و دل پيچه شديد دارد. خونريزي از مقعد دارد. دهان خشك است و زخم شده. قرار شد ازمايش مدفوع اورژانسي انجام دهند و سرم بگيرد.
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Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: True,
|
The patient's daughter called. She has a rash in her wrist. She's taking paroxetine 15 miles a day — two numbers. She was told to keep taking paroxetine, and she was given her turn. She was also told not to move — she has diarrhea, diarrhea, severe constipation, bleeding from the waist. Her mouth is swollen and injured. She was told to take emergency stools and cut off her head.
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397,020,733
|
بيمار با وجود دريافت اكسيژن ساچوريشن 87 درصد داشته است دخترش ادعا ميكند كرونا بررسي شده و منفي بوده است و خلط نداشته است و سرفه ها رفع شده است و قرار شد در صورت كاهش فشارخون تماس بگيرند آخرين آزمايش خون در دسترس نبود.بيمار فشارخون 17 پيدا كرده است 5 دقيقه قبل قرص لوزارتان 50 داده اند علايم فشارخون بدخيم نداشت با توجه به اندازه فشارخون فعلا اقدام خاص ديگري لازم نيست در صورت نياز ديورتيك تكرار شود.بيمار با تراكئوستومي و ونتيلاتور از بيمارستان مرخص شده است قادر به خوردن غذا هست فشارخون 14/7 گزارش شد والزارتان مصرف ميكند با توجه به اينكه معمولا فشارخون پايين بوده است قرار شد دگزامتازون بگيرد.همراهان بيمار فوت وي را اعلام نمودند جهت صدور گواهي فوت هماهنگ شد
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: True,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
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The patient, despite receiving 87 percent of the oxygen supply, his daughter claims that the corona has been checked and turned off and not mixed and that the coughs have been removed and that they're going to be contacted if the blood pressure drops. The last blood test was not available. Bemar has found 17 minutes of hypertension, five minutes before your LSD gave you 50, and the symptoms of hypertension are not terrifying given the amount of hypertension. There's no further action necessary given the need to repeat the procedure. Bemar has been discharged from the hospital with Stromatomy and Ventler, is able to eat food. The hypertension is reported on 14/7, and you're taking your LSD, and given that it's normally low, he's going to be taking DDT. The relatives of the deceased have announced that they're coordinating to issue a death certificate.
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397,020,778
|
تماس پسر بيمار و ارسال جواب آزمايش CBC : Nl. نياز به اقدام خاصي نيست..تماس از دختر. داروهايي كه در ويزيت قبلي تجويز شده تمام شده و مجددا تنگي نفس دارد. سوال داشتند كه خودشان تهيه كنند يا ويزيت منزل انجام مي شود؟ بيمار اخرين بار 30 مردادماه ويزيت شده اما از ليست HC هم خارج نشده. با توجه به كانسر متاستاتيك مري و همچنين معيار PPS به نظر مي رسد فعلا نياز به HC داشته باشد..تماس از همسر سوال درباره نسخه دارويي به كلينيك دكتر مرندي ارجاع شدند
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Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: True,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
Call the son of the patient, send the test answer. CBC: No. No special action required. (Laughter) (Applause) (Applause) The medications have been diluted out of the previous regimen, and again, he's short of breath. (Laughter) (Applause) They asked themselves, are they being diluted out or is the home regimen being done? (Laughter) (Applause) The patient was last discharged on July 30th, but has not been removed from the HC list. (Laughter) (Applause) (Applause) Given the methadone concentrations and also the PPS standards, it seems that he does need HC now. (Laughter) (Applause) (Applause) (Applause) The wife referred the prescription question to Dr. Mandy's clinic.
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397,020,804
|
با بيمار صحبت شد . حال عمومي خوب. همچنان درجه حرارت گاهي به 38 ميرسد. ضربان قلب و فشارخون نرمال. استامينوفن را هر 4 تا 6 ساعت استفاده مي كنند . اكسي كدون 30 ميلي روزانه 3 يا 4 بار استفاده مي كنند و درد كنترل شده است. خواب خوب است. روحيه و وضعيت جسماني نسبت به هفته قبل بهتر است..همسر بيمار تماس گرفت. جهت تزريق سرم هاي تغذيه اي و فواصل آن سوال داشتند. قبلا آقاي حلبيان به ايشان گفته بودنده فواصل تزريق 48 ساعت يك بار باشد. در شرح حال گرفته شد اظهار داشتند آب ميوه ميخورند. به ايشان توضيحاتي در مورد تغيير روند تغذيه و نياز كمتر بيمارداده شد و توصيه شد تا جايي كه بيمار ظرفيت و پذيرش دارد تغذيه ا زطريق دهان قطع نشود. سرم ها روزانه تزريق شود و حتما به دنبال سرم تغذيه اي سرم قندي نمكي وصل شود. پيشنهاد شد آب ميوه تهيه شده را پركالري كنند و قرار شد جهت مشاوره بهتر نوبت تغديه گرفته شود..آزمايش بيماردر واتس آپ رويت شد كه در ويزيت ثبت شد.لكوپني تونوتروپني درمحدوده خطر عفونت است.ترومبوسيتوپني هم وجود دارد. باهمسر بيمار تماس گرفته شد و اظهار شد نيازمند بستري در بيمارستان هستند. عنوان شد نه خود بيمار رضايت به اين امر داشته و نه ايشان توانايي انجام اين امر را دارد و دوست دارند بيمار در منزل نگه داري شود. صبح امروز به دستور دكتر كشاورز توسط آقاي واعظ سفترياكسون تزريق شده و بعدازظهر به دستور دكتر علوي سفتازيديم شروع شده بود. نيازمند ويزيت مجدد در منزل هستند..چند روزي است تب نداشته هوشياري متغير است بعلت خرابي رگ سرم برقرار نيست با توجه به سطح هوشياري توصيه شد فعلا سرم قطع نشود.بيمار هوشيار نيست تغذيه نداشته است با توجه به خراب شدن رگ توصيه شد ivجديد برقرار شود و سرم و داروها ادامه يابد.بيمار همچنان هوشيار نيست امروز ادرار نداشته است و با توجه به اتروفي جدار شكم از همراه بيمار خواسته شد وضعيت مثانه را چك كنند كه خالي گزارش شد و با توجه به لزوم گذاشتن سوند ادراري توصيه به سونداژ شد تا مراحل بعدي پيگيري شود.بيمار ارست قلبي تنفسي نمود و فوت شد
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Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: True,
Fever: True,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
He talked to the patient. He's fine. He's still getting 38 degrees at times. He's getting normal heart rate and blood pressure. They're taking vitamins every four to six hours. They're taking 30 miles of aspirin three or four times a day and pain is controlled. They're having a good night's sleep. The mood and physical condition is better than the previous week. All the patients were called in to have a feeding cessation. They were asked questions about the distance to the feeding cessation. They were previously told by the Sirens that the distance to the feeding cessation should be 48 hours once. The patient was told that they were drinking fruit. They were given instructions about changing the feeding cessation and the patient's need for less, and it was recommended that they don't have to have a feeding cessation until the patient has the capacity and the appetite. They were told to have a feeding cessation every day and to follow the feeding cessation to have a low blood sugar. It was recommended that they filter out the drained fruit and take a feeding cessation for better counseling. The patient's tests were done on Watson Street and they were recorded on the oil. But tonotropic tonotropic is around the risk of infection. And tonotropic is also present. All the patients were called in and they were told that they needed hospitalization. They were told that neither the patient was satisfied with this, nor was they able to do this and would like to keep the patient at home. The farmer's doctor ordered the operation this morning by the priest Stephen Stephenson, and the operation was started the afternoon by the public doctor Stephenson. They needed re-oil in the house. The patient hasn't had a fever for several days, the consciousness is changing due to the deterioration of the blood vessels in the head, and it was recommended that they don't have to have a feeding cessation now. The patient hasn't had a urine, and due to the erosion of the bladder, it was recommended that he have to have a urine bubble, and the medications continue. The patient is still not conscious. The patient was asked to have a urine bubble, and due to the erosion of the bladder, was reported to have a urine bubble, and due to the need to have a urine bubble, it was recommended that he have to have a urine bubble, to have a urine bubble, to have a urine bubble, to have a urine bubble. The patient breathed and died.
|
397,020,811
|
همسر بيمار تماس گرفت. جواب آزمايش را ارسال كرده اند. مشكلي ندارد.قرص هالوپريدول تجويز شد..پسر بيمار تماس گرفت. اظهار داشت NG tube را خارج كرده است.به علت ويزيت امروز عصر دكتر ابطحي جهت مشورت در مورد تعبيه مجدد با ايشان تماس حاصل شد. طبق نظر ايشان وضعيت هوشياري بيمار بين stupor & coma است و احتمالا مجددا لوله را خارج خواهد كرد. تصميم اين شد كه يك هفته تحت تزريق آمينوفيوژن باشد با فواصل يك روز در ميان و بعد از ان سرم قندي نمكي تجويز شود. پس از يك هفته با مشاهده وضعيت هوشياري راجع ادامه TPN و يا تعبيه NG تصميم گرفته شود. قرار شد خانواده لوله را شسته و در پلاستيك نگه دارند.جهت دريافت سرم هاي مربوطه توسط جناب شعرباف هماهنگي با داروخانه انجام شد و قرار شد جهت اعزام پرستار فردا تماس بگيرند..همسر تماس گرفت. اظهار داشت بيمار بي قرار است. در طول شب مداوم دست و پاي خود را حركت مي دهد و صحبت ميكند. براي كنترل دليريوم هالوپريدول شروع شده بود كه تاثيري نداشته است. بينايي كاهش يافته است . مدام از همسر مي خواهد نزديكش باشد و فاصله نگيرد. متاستاز مغزي داشته است. هوشيار است. الانزاپين 2/5 شروع شد و قرار شد به علت حساس بودن بيمار به عوارض داروها دو شب نصف قرص و سپس كامل داده شود و بعد از 5 روز تاثير آن گزارش شود..همراه بيمار گلودرد بيمار را گزارش نمود علايم سرماخوردگي نداشت فعلا قرار شد قطره نيستاتين براي بيمار استفاده شود. الانزاپين را تهيه نكرده اند و هالوپريدول را ادامه داده اند..بيمار از احساس درد ساب استرنال و اپيگاستر شاكي بود بثورات جلدي نداشت قرار شد با شك به گاستريت و ازوفاژيت شربت منيزيم استفاده نمايد و نتيجه را اعلام كند تا در صورت عدم بهبود داروي ازوفاژيت كانديديايي براي بيمار شروع شود كه تماس مجدد نداشتند . الانزاپين را تهيه نكرده اند و هالوپريدول را ادامه داده اند..همراه بيمار تماس گرفت. از نفخ شكم شكايت دارد. توصيه شد بعد از هر وعده غذا قرص دايمتيكون مصرف نمايد..همسر بيمار تماس گرفت. ميگويد حرف زدن بيمار كم شده، خواب آلود است و ناله ميكند. فشار را 9/6 و ضربان قلب را 90 اعلام ميكند. RR:25. با توجه به ويزيت چند روز قبل توسط دكتر سلوكي كه بيمار همين حالات را داشته است گفته شد كه نياز به اقدام خاصي نيست و در صورت بدتر شدن حال بيمار اطلاع دهند..همسر بيمار تماس گرفت. مجددا گزارش كم حرفي بيمار را ميدهد. به ايشان توضيح داده شد كه به علت كاهش نسبي هوشياري بيمار حرف زدن نيز كمتر شده است و اقدام خاصي لازم نيست..بيمار پس از دريافت سرم بهتر شده است تقاضاي تجويز سرم داشتند قرار شد مراجعه نمايد تا سرم خوراكي و تزريقي براي ايشان تجويز شود.بيمار چشم راست را باز نمي كند.گفته شد عكس بفرستند تا در صورت نياز دارو نجويز شود.عكس در واتس اپ رويت شد مشكل خاصي ندارد.به نظر مي آيد شرح حال هاي اگزجره مي دهند.هوشياري مثل قبل است و تغييري نكرده.پرستار جهت تزريق سرم مي خواهد..همسر بيمار تماس گرفت. شكايت از خواب آلودگي شديد بيمار و پاسخ ندادن دارد. عوامل خطر توضيح داده شد. همچنين درخواست پرستار براي وصل سرم دارد كه براي فردا نوبت داده شد..همسر بيمار تماس گرفت. ميگويد در دو روز گذشته بيمار بيقرار است و هذيان ميگويد. هالوپريدول در ليست داروها هست اما به بيمار نميدهند. توصيه شد 1/2 قرص را هر شب به بيمار بدهند و در صورت عدم بهبودي مجددا تماس بگيرند..همسر تماس گرفت. از بي قراري و هذيان گويي شكايت دارد. با وجود مصرف قرص هالوپريدول بهتر نشده است. صداي بيمار شنيده مي شد. همراه مستاصل و نگران بود . درخواست بستري در بيمارستان داشت. به ايشان در مورد دليريوم و كنترل آن توضيحات داده شد. قرار شد قرص الانزاپين با دوز 1/4 شروع شود و هر دو روز يك بار 1/4 اضافه شود و پس از يك هته به يك عدد شب ها برسد. 1/2 آمپول هالوپريدول STAT تجويز شد. نياز به چك الكتروليت ها دارد. توصيه شد براي بيمار اكسيژن با حجم 3 ليتر در دقيقه بگذارد..دختر تماس گرفت. دو ساعت پيش 1/4 قرص الانزاپين 5 داده شده و بي قراري و هذيان گويي كمتر شده است. قرار شد طبق دستور قبلي دارو افزايش داده شود. امپول هالوپريدول تزريق نشده است و دستور عدم تزريق داده شد.درخواست اعزام تيم پزشكي داشتند كه قرار شد فردا با مركز تماس بگيرند..در بيمارستان بستري است..دختر مرحوم تماس گرفت گزارشي از ناسازگاري پسر كوچك همراه با مقصر دانستن مادرش در فوت پدر داد يك بار اقدام به سوءمصرف متادون كرده است و در بيمارستان بستري شده است در مورد نحوه تعامل با وي صحبت شد و توصيه شد با روانشناس مركز مشاوره نمايند همچنين مراتب به گروه روانشناسي مركز اعلام گرديد
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Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: True,
Psychiatric and psychological complaints: True,
Lymphedema: False,
Sleep disorders: True,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: True,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: True,
Gastrointestinal issues: True,
|
The patient's wife called. Test responses sent. No problem. Halloperidol tablets were scored. The patient's father called. He said he had taken the tube out. Due to the oil this afternoon, the delayed doctor got in touch with them to advise on re-immunization. According to them, the patient's consciousness is in stupor & coma and will probably take the tube out again. It was decided to be under an amniotic therapy for a week at intervals of one day in between and after that the head would have a measurable glucose score. After a week observing the patient's consciousness about continuing TPN or NG stimulation, it was decided to wash the family of the tube and keep it in plastic. While taking the relevant heads by Mr. Poetbaugh in coordination with the pharmacy, they were to call the nurses tomorrow. He called. He said the patient is restless. He moves his arms and legs continuously throughout the night and talks. Halloperidol diaphragm had begun to control that had no effect. He has reduced vision. He wants to keep his wife close and away from him. He has brain metastases. He is conscious. Anazepines started at 2/5 and was supposed to be given for two nights and half a pill and then completed after 5 days due to the patient's sensitivity to the effects of the medications. All patients reported no signs of hypothermia. No infusions were actually supposed to be used for the patient. Anazepines did not be administered and haloperidol continued. Bemar was complaining of sub-sternal and epigastric pain and had no epileptic seizures. He was not supposed to use gastric pain and hypoleptic seizures and to report the results so that in the event of no improvement in the condensing of the medicines, the patient would not be in contact again. Anazepines did not be administered and haloperidol continued. All patients called. He has chest pain. It was recommended that you do not take diazepines after every meal. All patients called. He says the patient is quiet, sleepy and nauseous. Pressure is 9/6 and heart rate is 90. RR:25. Due to the oil a few days ago, the doctor's behavior said the patient needed no action and in the event of a worsening of the patient would not be informed. All patients called. He again reported a little word to the patient. They explained that the patient's consciousness had also been reduced and no action was required. Bemar was better advised to call in to monitor the head and to report the effects of the medications. He said he did not open his eyes. He reported a picture of the patient in case of a worsening of the patient. He again reported a little word to the patient. He explained that the patient's consciousness had been reduced and no action was required. Bemar was advised to call in at intervals of one night and half a pill and then completed after 5 days due to the patient's sensitivity to the medications. Bemar reported no signs of hypothermia. He also reported that the patient had no symptoms of hypersensitivity. He reported that the patient had no symptoms of hypersensitivity. He also reported that the patient had no symptoms of hypersensitivity. He reported that the patient had no symptoms of epileptic seizures and to be taken. He also reported that the patient had no symptoms of hypersensitivity. He reported that the patient had no symptoms of hypersensitivity. He reported that the patient had no symptoms of hypersensitivity. He reported that the patient had no symptoms of epileptic seizures and to be taken the medications. He also reported that the patient had been taken the medications. He reported that the patient had been taken the medications and continued. He reported that the patient was not taken the medications. He reported that the patient had hypersensitivity. RR:25. RR:25. RR:25. RR:25. He reported that the patient did not open his heart rate was 90. He reported that the patient was 90. He reported that the patient had no action was not needed action. He reported that the patient had no action. He reported that the patient had no action. He reported that the patient had no action.
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397,020,846
|
همسر بيمار تماس گرفت شرح حالي از تب و كاهش سطح هوشياري ميداد عليرغم تلاش جهت چك قند خون جريان خون مويرگي مناسب نبوده است لذا قرار شد ويزيت در منزل توسط پزشك آنكال انجام شود.امروز صبح كاهش سطح هوشياري پيدا كرده بطوريكه هرچه صدا مي كنندچشم ها را باز نمي كند.دستگاه فشار سنج ندارند ولي مي گويند نبض انتهاي اندام حس مي شود و رگولار و نرمال است.انتهاها سرد نيست.تب دارد.در صورت امكان ويزيت پزشك هماهنگ شود..دختر بيمار تماس گرفت زخم بستر در حال بهبودي است ولي زخمهايي روي اندام تحتاني به دنبال شستشو ايجاد شده است كه به راحتي خونريزي ميكند داروهاي ضد لخته در بيمارستان الزهرا hold شده است بيمار تورم اسكروتوم پيدا كرده است فعلا قرار شد دگزا متازون افزايش يابد.گزارشي از تب در دو روز گذشته ميدهد ديروز فشارخون توسط پرستار مركز چك شده خوب بوده است زير كتف به اندازه يك كف دست كبود شده است اندام درد ندارد سرد نيست امكان ارسال تصوير از ضايعه را نداشتندفعلا مشكل اورژانسي به نظر نميرسد تا فردا توسط پزشك ويزيت شود.جواب آزمايش 99/5/29 را ارسال كرده اند كه ثبت شد:.تماس همسر بيمار براي آزمايش 99/6/12. WBC=7.1. Hb=9.4. Plt=160000. PT=13. PTT=32. INR=1..بيمار از شب گذشته تهوع و استفراغ شده است از صبح سياه رنگ بوده است بيمار ضعف و بيحالي پيدا كرده است قرار شد باتوجه به خونريزي گوارشي با 115 تماس بگيرد
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Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: True,
Decreased level of consciousness: True,
Fever: True,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: True,
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The patient's wife called. She gave a current report of fever and a decrease in consciousness despite attempts to control blood sugar. The blood flow wasn't adequate, so she was ordered to be operated at home by an oncologist. She found a decrease in consciousness in the morning, so no matter what they said, she wouldn't open her mouth. She doesn't have a pressure device, but she says she senses the pulse at the end of her limb and she's fine. Her intestines are not cold. She has a fever. She'll be ordered by an oncologist if possible. The patient's doctor called. The wound in the bed is healing, but there are scars on the underlying limbs following the washing, which relieves the bleeding. Anti-cellulose drugs are held in the emergency room. The patient found an inflammatory throat. Currently, the dosage was adjusted to increase the fever. The patient's wife gave a report of fever in the last two days. She gave a current report of fever by an oncologist in the center. She was ordered to be operated at home by an oncologist. She gave a current report of fever and a decrease in consciousness despite attempts to control blood sugar. The blood flow wasn't adequate, so she was ordered to be operated at home by an oncologist. She found a decrease in consciousness in the morning, so no matter what they said, she wouldn't open her mouth. She doesn't have a pressure device, but she says she feels the pulse at the end of her limb and she's fine. Her intestines are not cold. She has a fever. She is ordered to be operated by an oncologist if possible. The patient's doctor called. The wound in the bed is healing, but there are scars on the underlying limbs following the washing, which relieves the bleeding. The patient found an inflammatory throat. The patient had an inflammatory throat. The patient was actually ordered to be operated at home by an oncologist. She had a report of fever in the last two days. She had a report of fever in the last two days. She had a report of fever in the last two days. She was ordered to be operated at home by an oncologist. She has a report of fever in the center, because her shoulder is tied to the size of a shoe. She has no pain. She has no pain. She has no cold. She was ordered to be operated at home by an oncologist. She doesn't have a report of injury. She doesn't really have an emergency situation until tomorrow, so she was ordered to be operated at home by an oncologist. She gave a report of fever on 99/5/29, which was recorded as follows: Thanks to the patient's wife for the test 99/6/12. WBC=7.1. Hb=9.4. Plt=160000. PT=13. PTT=32. INR=1. INR=1.
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397,020,854
|
تماس از بيمار. حدود 40 روز پيش جراحي نخاع انجام داده. به دليل يبوست شياف بيزاكوديل مصرف كرده. از روز گذشته احساس مي كند توده اي در ركتوم گير كرده كه دفع نمي شود..گزارش ادم پاي چپ داده مي شود. تنگي نفس ندارد. احتمال DVT مطرح است. با هماهنگي آقاي شعربافچي زاده براي فردا ويزيت پزشك هماهنگ شد..تماس از دختر. در مورد ادامه مصرف داروي ضد انعقاد و تزريق واكسن سوال داشتند كه راهنمايي شدند.
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Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: True,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: True,
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He got in touch with the patient. He had a spinal cord surgery about 40 days ago. He's been taking bisacodile for hip replacement. He feels like he's had a pile in his stool the other day that's not being washed. He's got Ed on the left. He's not breathing. He's got a DVT. He's got a doctor's appointment with Mr. Potiphari Babachi for tomorrow. He's got a letter from the girl. They've been asking questions about their continued use of antidepressants and vaccines, and they've been advised.
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397,020,857
|
تماس از پدر بيمار.متاسفانه سرطان به شدت پيشرفت كرده و به گفته ي ايشان شكم و ريه ها پر از توده هاي متعدد است.يك ماه است اصلا نمي تواند راه برود.درد شديد دارد .پزشكان از درمان قطع اميد كرده اند.نياز به ويزيت پزشك دارد.در مورد رضايت نامه و تكميل پرونده توضيح داده شد..پدر بيمار تماس گرفت بي اشتهايي درد شكم و سوختگي محل پرتو دماني را گزارش نمود قرار شد پدياشور استفاده نمايد دارو توصيه شد.پدر بيمار تماس گرفت. گزارش افت هوشياري ميدهد. توصيه به تماس با 115 شد. تمايلي به انتقال به بيمارستان نداشته و درخواست پزشك دارند. جهت اعزام با آقاي شعربافچي هماهنگ شد..بيمار بسيار كم اشتهاست داروها را مصرف ميكند تقاضاي تسريع در تپ آسيت داشت زخم سوختگي در حال بهبود است.پدر بيمار تماس گرفت. از درد كنترل نشده شكايت دارد. 1/4 اكسي كدون 5 ميلي را PRN هروقت درد دارد مصرف ميكنند. توصيه به مصرف منظم اكسي كدون شد.
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Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: True,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: True,
Gastrointestinal issues: False,
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The call from the patient's father. The cancer patient is very advanced, and one of them said his chest and lungs are full of tonsils. For a month he can't walk at all. He's very ill. The family is disillusioned with the treatment. He has no medical license. The petition and the filing of the case are explained. The patient's father calls. He reports persistent chest pain and burns. The doctor is ordered not to use the pills. The patient's father calls. He reports a loss of consciousness. He's ordered to call 115. He doesn't want to be transferred to the hospital and he's asking for a doctor. He's agreed to deploy with Mr. Potiphar. He's taking very few medications. He's requesting a speeding up in the TAP. The burns are improving. The patient's father calls. He's recovering from uncontrolled pain. He's taking a quarter of an hour of C-PentaBDE every time he has pain. He's ordered to take regular C-PentaBDE.
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397,020,863
|
تماس پسر بيمار و شرح حال ديسترس تنفسي عليرغم استفاده از اكسيژن. توصيه شد با اورژانس 115 تماس بگيرند..دختر بيمار تماس گرفت. جريان ادرار قطع شده است احتمالا سوند بيمار گرفتگي دارد. تقاضاي اعزام پرستار دارد. با آقاي شعربافچي جهت اعزام هماهنگ شد..پسر بيمار تماس گرفت. سوند بيمار دچار گرفتگي شده و بيمار احتباس ادراري دارد. درخواست اعزام پرستار دارند كه هماهنگ شد..دختر بيمار تماس گرفت. از نشت سوند و خارج شدن ادرار شكايت دارد. جهت اعزام پرستار هماهنگ شد..همسر بيمار تماس گرفت. درخواست ويزيت پزشك دارد. گفته شد در هفته آينده هماهنگ خواهد شد.
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Patient requested a doctor's visit: True,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: True,
Insurance/treatment cost issues: False,
Urinary tract issues: True,
Pain: False,
Gastrointestinal issues: False,
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The patient's son's call, the patient's breathing history despite oxygen. He's been advised to call emergency room 115. The patient's nurse's call. The flow of the urine is interrupted. The patient's throat is probably in remission. He's requesting a nurse's deployment. He's been coordinated with Mr. Lipibabachi to deploy. The patient's throat is in remission. The patient's throat is in diarrhea. He's requesting a nurse's deployment that's been coordinated. The patient's nurse's call. He's complaining about the throat and the urine coming out. He's been coordinated to deploy a nurse. He's requesting medical permission. It's said it'll be coordinated in the next week.
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397,020,865
|
بيمار بيحال است از شب گذشته ادرار نداشته است بيحال است تمايلي به بيمارستان ندارد از قند بيمار خبر ندارد توصيه به سونداژو آزمايش خون توسط پرستار شد هماهنگي لازم انجام شد.ارسال جواب آزمايش كه ثبت شد. PT=28. INR=3. BS=454. آزمايش را به پزشك معالج (دكتر رييسي) نشان داده اند و وارفارين بيمار از روزانه1/5 قرص به روزانه 1 قرص كاهش يافته. كموتراپي بيمار ادامه دارد. هزينه تهيه نسخه هاي تجويزي مكسا را ندارند كه به مددكاري ارجاع داده شد. براي ديابت زير نظر پزشك مركز ديابت هستند و دستور انسولين لانتوس و نوورپيد دارند..بيمار خونريزي ساب اسكلرا چشم داشته كه توسط متخصص چشم هم بررسي شده است INR برابر4.9 بوده است با توجه به دستور ويزيت كه بيمار در جريان نبود لطفا تلفني به بيمار اعلام شود نسخه دارويي جديد را بكيرد و وارفارين را قطع كندو از چند روز ديگر اپيكسابان شروع شود.همسر تماس گرفت. 4 روز پيش كمو شده است. از ضعف و بي حالي و عدم تغذيه شكايت دارد. نيازمند اعزام پرستار و رگ گيري است.
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Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: True,
Seizures: False,
Weakness and fatigue: True,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: True,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
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The patient is sick. He hasn't had pee since last night. He's sick. He doesn't want to go to the hospital. He doesn't know about his glucose. He's been referred to a sanatorium. The nurse conducts a blood test. The coordination is needed. Sends the recorded test result. PT=28. INR=3. BS=454. Shows the test to the the therapist. The patient's varfarin is reduced from one fifth of a pill a day to one pill a day. The patient continues to be treated. The patient doesn't have the expensive prescriptions of Medicare that have been referred to the care center. They're under the supervision of the primary care physician and they're on the prescriptions of insulin, lactose and nouridine. The ophthalmologist has seen sub-skeletal hematoma that has also been examined by an ophthalmologist. INR is 4.9 compared to the prescriptions of vitamins that the patient was not on. Please call the patient to announce a new prescription and cut off the varfarin. The patient starts taking ophthalmotherapy a few days later. Contacts. He has lost weight four days ago. He complains of weakness and diarrhea. Needs the nurse to come in and take blood.
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397,020,897
|
دختر بيمار تماس گرفت. توسط دكتر مرندي و آقاي واعظ ويزيت شده اند. برايشان سرم وصل شده و اكنون سرم مشكل پيدا كرده است. توضيح داده شد كه امكان اعزام وجود ندارد و گفته شد كه تلفني از آقاي واعظ راهنمايي بگيرند..دختر بيمار تماس گرفت.حال عمومي بيمار خوب نيست.هوشياري بسيار كاهش يافته .در بيمارستان بستري بوده كه دكتر مرندي گفتند در بيمارستان كاري برايشان نمي توان كرد و بهتر است به منزل منتقل شود.اكنون ضربان قلب نامنظم است و تا 150 بالا مي رود.اشباع اكسيژن 95 است.بلع ندارد و با بلع به سرفه مي افتد و درد شكم بعد از خوردن پيدا مي كند.قرار شد فشار خون بيمار چك شود و در صورت افت فشار سرم داشته باشد.با توجه به مشكل بلع داروي خوراكي ندهند.توضيح داده شد كه بيمار روزهاي آخر عمر خود سپري مي كند.آماده و پذيراي فوت بيمار هستند و تمايلي به بيمارستان ندارند.
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Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: True,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: True,
Gastrointestinal issues: False,
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The daughter of the patient called. Dr. Mandy and the preacher were on leave. They had my head attached, and now I have a problem with my head. It was explained that there is no way to send them, and they were told to call the preacher. The patient called. The general condition is not good. The fever is very low. There was a hospital bed where Dr. Mandy said they can't work in the hospital, they'd better go home. The heart rate is now abnormal, it's going up to 150. It's administering 95 percent oxygen. It's not breathing, it's coughing up, it's having chest pain after a meal. It's determined that the patient's blood pressure is going up, and if it goes down, it's having pressure in my head. They're not taking any food because of the coughing up. It was explained that the patient is spending the last days of his life, they're homecoming, they're accepting the death of the patient and they're not going to the hospital.
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397,020,926
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بيمار تماس گرفت. از درد در ناحيه رحم شكايت دارد. با ادرار كردن درد بيمار بهتر ميشود. توصيه به مصرف استامينوفن هر 6 ساعت شد..بيمار فشارخون متغير پيدا كرده است شب گذشته سوزش در پشت قفسه سينه داشته است كه دو شب قبل نيز همين حالات را تجربه كرده و با TNG زير زياني بهتر شده است قبلا لوزارتان مصرف ميكرده است قرار شد در صورت فشارخون بالا با نصف مجدد شروع نمايد.فشارخون بيمار17بوده است و بيمار از سردرد شاكي است گاهي درد قفسه سينه داشته است كه با زير زباني بهبود مييابد قرار شد لوزارتان به يك قرص افزايش يابد و در صورت تداوم درد سينه با 115 تماس بگيرند
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Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: True,
Gastrointestinal issues: False,
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The patient got in touch. She's relieved of the pain in the uterus. She's better at urinating. She's been administering aspirin every six hours. Her blood pressure's changed. Last night she had a lump in the back of her chest. She had the same lump two nights before. She's better at TNG because it's biodegradable. She's already taking her pills. She's not going to start again in the case of high blood pressure. She's got 17 pounds. She's recovering from a cold. She's sometimes had chest pain that's better with language. She's got a pill increase. And if she has chest pain, she gets in touch with 115.
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397,020,954
|
بيمار چند روز قبل شيمي درماني كرده است از درد معده و تهوع شاكي است آسيت دارد دفع نامرتب و كم بوده است داروها كنترل شد تقاضاي تپ آسيت داشتند كه در اين مورد راهنمايي شدند.دختر تماس گرفت. از تهوع و استفراغ شكايت دارد. ظهر آمپول دميترون تجويز شده است ولي سه نوبت استفراغ داشته و هم چنان حالت تهوع دارد. با فواصل 21 روز يك بار كمو مي شود. آخرين نوبت 18 ارديبهشت بوده است.ديس پنه و chest painگزارش نشد. قادر به راه رفتن وانجام امور شخصي هست ولي وضعيت بيمار متغير است و بعضي روزها در انجام امور نيازمند كمك است. آسيت د رحال حاضر منفي گزارش شد.آمپول دميترون مجددا تزريق شود و با فواصل شش ساعت پلازيل تجويز شد.پرونده و رضايت نامه قبلا تكميل شده است. پاتولوژي بيمار در ويزيت فعلي اصلاح شد..تماس دختر بيمار .از يك هفته قبل حال عمومي و وضعيت جسماني بيمار خوب نيست و بيشتر اوقات در تخت دراز كشيده اند. 99/4/11 آسيت در بيمارستان تپ شده است. از روز قبل تهوع استفراغ شديد وجود دارد. رضايتنامه HC را امضا كرده اند و ويزيت آنكال پرستاري هماهنگ شد..دختر بيمار تماس گرفت. درد كنترل نيست. اكسي كدون 5 ميلي را PRN مصرف ميكند. توصيه شد استامينوفن 500 ميلي و اكسي كدون را منظم هر 6 ساعت مصرف نمايد و در صورت عدم كنترل درد اطلاع دهد.
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Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: True,
Gastrointestinal issues: True,
|
The patient received chemotherapy a few days ago from diarrhea, vomiting, difficulty in exhaling, low doses of medication controlled, had a history of vomiting requests for guidance. The doctor was called. She complained of vomiting and vomiting. Afternoon, the diurethane was diluted, but she had three rounds of vomiting and still has the same symptoms. She was cured once every 21 days. Last time, she had 18 rounds. Diarrhea and chest pain were not administered. She is able to walk and do her personal chores, but the patient's condition is changing and sometimes she needs help on days off. The patient's history of adversity was reported. The diurethane was diluted again, and the placement was diluted every six hours. The pronouncement and consent had already been filed. The patient's pathology was improved in the actual oil. The patient's daughter's prayers. A week ago, the patient's overall condition and physical condition was not good and they were lying in bed most of the time. 9 / 4 / 11, the patient had a history of vomiting in the hospital. There was a history of extreme vomiting the day before. The HC signed the consent and the nurse's oil was coordinated. The patient's doctor was called. The pain was not controlled. She was taking 5 miles of PRN. It was recommended that she shouldn't take 500 miles of aspirin and oxytocin regularly every six hours and advise in case of no pain control.
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397,020,966
|
بيمار امروز تشنج داشته است كمتر از يك دقيقه طول كشيده بود به همراهش توصيه شد دپاكين را روزي يك عددافزايش دهد و راجع به تعديل بقيه داروها از مركز با ايشان تماس گرفته خواهد شد.بيمار به تازگي از بيمارستان مرخص شده است بعلت عفونت تحت درمان آنتي بيوتيكي بوده است فعلا درمان خوراكي دارد در 24ساعت گذشته سه بار تشنج داشته است كه چند دقيقه طول ميكشد بصورت جنراليزه نبوده است قرار شد تب بيمار به نحو مناسب كنترل شود دپاكين 500 به روزي سه عدد افزايش يابد و در صورت تشنج مجدد در طي 48 ساعت آينده نسبت به تغيير داروي ضد تشنج افدام شود.مادر بيمار تماس گرفت. عنوان ميكند كه از صبح چندين مرتبه تشنج داشته است. توضيح داده شد كه بايد بيمار را به بيمارستان منتقل كنند و در منزل امكان بهبود ( و حتي تحمل ) وضعيت بيمار نيست.
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Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: True,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
The patient today had a seizure that lasted less than a minute. He was ordered to give him a dose of Dapacon every day, and he would be contacted by the center to adjust the rest of the medications. Bimar had just been discharged from the hospital because of an infection under antibiotic therapy. He's currently on diet. He's had three seizures in the last 24 hours that lasted a few minutes. It's not normal. The patient's fever is set to be properly controlled. Dapacon 500 is set to increase three times a day, and if he has another seizure within the next 48 hours, he's going to have to change his anti-seizure medication. The patient's mother was contacted. She was told that she had several seizures in the morning. It was explained that she had to be transferred to the hospital, and that there was no way for her to recover.
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397,020,979
|
همسر بيمار تماس گرفت.آزمايشات به واتس اپ ارسال شده و رويت شد.همه فاكتورها نرمال بود.تنها فريتين=298 و ميزان آلفا 2 گلوبولين در الكتروفورز افزايش يافته بود.آلفا2گلوبولين=14(نرمال13/8-9/1).تماس از همسر بيمار. موقع رفتن به دستشويي زمين خورده. از درد پهلو شكايت دارد. درد به صورت مداوم است. با نفس كشيدن و جا به جا شدن تشديد مي شود. علائم خطر اموزش داده شد. توصيه شد در صورت تنگي نفس يا تشديد درد به بيمارستان مراجعه كنند..تماس از همسر. از ديروز استفراغ سبز دارد. درد شكم دارد. دفع گاز و مدفوع نداشته. اتساع شكم داشته كه فعلا ندارد. درخواست ويزيت پزشكي دارند. توضيح داده شد كه ممكن است علت اين علائم انسداد روده باشد و بايد جراح ايشان را ويزيت كند.قرار شد با 115 تماس بگيرند.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: True,
Gastrointestinal issues: True,
|
The patient's wife called. Tests were sent to Watson and Reuters. All the factors were normal. Trench fractions were 298 and alpha 2 glucose levels were elevated in the electrophoresis. Alpha 2 glucose levels were 14 [unclear]. (Applause) The patient's wife. She's thrown to the ground while walking. She has diarrhea. She has constant pain. She has difficulty breathing and moving. She's showing signs of danger. She's recommended to go to the hospital in case of diarrhea or difficulty breathing. (Applause) The patient's wife. She's had a green swelling since yesterday. She has chest pain. She has no gasp or poop. She's had an enlarged chest that she doesn't have now. She's requested medical attention. It's been explained that this may be the cause of the blockages in her intestine and she needs to be treated by a surgeon. She decided to call 115.
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397,020,980
|
درخواست پرستاري در بازه ي زماني 18 تا 20 ام براي تزريق زومتا..درخواست ويزيت و تزريق زومتا.درخواست ويزيت حتي الامكان امروز عصر.درخواست فيزيوتراپي..درخواست ويزيت بين26 تا 28 ارديبهشت تا آمپول ماهيانه نيز تزريق گردد..درخواست ويزيت ترجيحا عصر امروز يا فردا.نتيجه آزمايشات به شرح زير ارسال شد.تماس پسر بيمار. احساس گر گرفتگي و شكايت از آفت. درخواست ويزيت.بعد از ظهر فردا يا پسفردا پسرشان حضور دارند و بهتر است..تماس پسر. يادآوري براي هماهنگي ويزيت زخم بستر.درخواست اعزام پرستار زخم. به علت گسترش تعداد زخم ها مي خواهند بدانند در زمان نزديك پرستار اعزام مي شود يا اينكه خانوده به صورت شخصي اقدام كند..تماس از پسر. درخواست اعزام پرستار براي زخم بستر و گذاشتن لوله معده
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Patient requested a doctor's visit: True,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
A nurse's application for an 18- to 20-hour period to operate on Zooma. A nurse's application for an intravenous shot. A nurse's application for an intravenous shot. A nurse's application for an intravenous shot even this evening. A nurse's application for an intravenous shot between 26 and 28 o'clock. A nurse's application for a monthly shot between 26 and 28 o'clock. A nurse's application for an intravenous shot early this evening or tomorrow. The results of the trials are sent out in the form below. Message from the patient's son. Feeling sick and recovering from the disease. A nurse's application for an intravenous shot. A nurse's application for an intravenous shot and a pancreas. Better. Message from the patient's son. A nurse's application for an intravenous shot. A nurse's application for an intravenous shot and a pancreas. A nurse's application for an intravenous shot.
|
397,020,982
|
بيمار تماس گرفت. در سي تي انجام گرفته درگيري شكم داشته و قرار است شيمي درماني بشود، بصورت هفتگي و بمدت 6 ماه. واكسن كرونا نزده. قصد سفر كردن به مشهد دارد كه توصيه شد فعلا صبر كند بهتر است. نگراني در مورد يافتن پرستار دايمي دارد. به روانشناسي ارجاع شد
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
He gets in touch. He's on C.T., he's got a chestectomy, he's going to get a chestectomy, seven weeks, six months. He's not coming to C.R., he's going to travel to the scenery that was recommended, he's better off now. He's worried about finding a permanent nurse. He's referred to the psychologist.
|
397,020,987
|
دختر بيمار تماس گرفت. از اسهال و استفراغ شكايت دارد. دوشنبه گذشته كمو انجام داده است. پنج شنبه به دنبال اسهال شديد به بيمارستان مراجعه كرده اما مشكل خاصي تشخيص نداده و با تجويز قرص لوپراميد مرخص شده است. توصيه شده يك سرم نرمال سالين يك ليتري در عرض 4 ساعت گرفته و هر 12 ساعت نيز تكرار شود. هر دو ساعت لوپراميد را مصرف كند و پس از كمتر شدن اسهال نيز پس از هر بار اسهال استفاده نمايد. آمپول دميترون را تا 48 ساعت هر 8 ساعت عضلاني تزريق كند. آموزش استفاده از پودر ORS نيز داده شد. قرص ديفنوكسيلات قطع شود و سيپروفلوكساسين نيز كه مصرف ميكند را قطع نمايد..دختر بيمار در ساعت 18 با مركز تماس گرفت .اظهار داشت دو ساعت پيش به ايشان قول ويزيت داده شده ولي هنوز كسي مراجعه نكرده است. با اقاي شعرباف براي ايشان هماهنگي لازم صورت گرفت. مجددا در ساعت 19 تماس مجدد گرفته شد و اظهار داشتند بيمار نيازمند ويزيت است.به ايشان اطمينان داده شد جزو بيماران ويزيت امشب هستند.
|
Patient requested a doctor's visit: True,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: True,
|
The patient's daughter called. She has diarrhea and vomiting. Last Monday she did a little bit. She went to the hospital on Friday with severe diarrhea, but didn't get a diagnosis. She was discharged with a dose of lopramine. She was ordered to take a liter of lopramine for four hours and repeat it every 12 hours. She was ordered to take two hours of lopramine and not to take it again after every diarrhea. She was ordered to take a sedative for 48 hours every 8 hours. She was ordered to be trained in ORS powder. She was ordered to take diphenoxalates and not to take ciprofloxacin. The patient's mother called the center at 18 o'clock. She was informed that she had been promised vitamins two hours ago, but no one had called yet. She was informed that she had been prescribed vitamins again at 19 o'clock. She was informed that she had been prescribed vitamins tonight.
|
397,021,027
|
تماس از خود بيمار و سوال راجع به واكسن كرونا كه راهنمايي شدند.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
The call from the patient themselves and the question about Vaccine Crohn were guided.
|
397,021,071
|
مادر بيمار تماس گرفتند.هر ماه جهت چك اپ به پزشك مراجعه مي كنند. آمپول ساندوستاتين مصرف ميكنند. از نظر اشتهاو روحي خوب هستند .
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
The mother got in touch. They go to the doctor every month for a check-up. They take amphetamines. They're mentally healthy.
|
397,021,077
|
درخواست پرستار جهت نمونه گيري خون براي فردا داشتند..بيمار امروز ويزيت شده است قبلا آسپيرين مصرف نميكرده است امروز به سختي نمونه خون از بيمار گرفته شده است بيمار از آقاي دكتر ابطحي سوال دارد كه آيا نبايستي آسپيرين مصرف نمايد اصرار داشتند كه خود دكتر جواب بدهد.تماس بيمار براي تقاضاي پرستار براي آزمايش خون. بيمار به علت مشكل مالي سي تي اسكن شكم را انجام نداده اند و از طرفي چون طبق نظر جراح ، امكان جراحي هم به علت مشكلات ريوي ندارند ، سي تي انجام نداده اند. در حد داخل منزل به سختي و به كندي راه مي روند و اجبارا آشپزي هم مي كنند ولي راه رفتن به تنهايي به خارج از منزل و حتي تنهايي استحمام كردن برايشان مقدور نيست به علت عدم تعادل ناشي از درد كمر و اندام تحتاني . مي گويند مخدر باعث گيجي مي شود ولي درد را كامل كنترل نمي كند. شرح حال از مخدر گرفتم كه مشخص شد بيمار فقط شبها يك عدد قرص استامينوفن كديين مي خورد. آموزش هاي لازم داده شد . قرار شد در اولين قدم ، درد را با پزشك معالج خود دكتر نكويي مطرح كنند براي نسخه اكسي كدون و اطلاع دهند..زخم پا(زخم پاي ديابتي؟).عكس ارسال شد.زخم معمولي بود در اثر فرو رفتن ناخن شست پا در گوشت.آموزش..جهت اندازه گيري قند خون تقاضاي اعزام پرستار جهت فردا داشتند انگشت پا زخم شده است قرار شد با هماهنگي قبلي اقدام شود.بيمار از درد بين دو كتف با انتشار به گردن و اندام فوقاني به همراه حالت تهوع شكايت دارد. با توجه به ديابتي بودن بيمار، براي بيمار ECG درخواست شد و ويزيت پرستاري هماهنگ شد.تماس بيمار درخواست ويزيت پرستاري براي آزمايش خون. تحرك خيلي كم و با كمك واكر است..تماس از خود بيمار كه فرمودند آقاي دكتر مرندي به بيمار وعده ي پرداخت مبلغ 300/000 تومان وجه نقد را داده اند كه براي راهنمايي هاي بيشتر به مددكاري وصل شدند..بيمار تماس گرفت. از تب، درد و تعريق شكايت دارد. گفته شد احتمال كرونا مطرح است. توصيه به مصرف استامينوفن و ويتامين C شد. همچنين گفته شد در صورت تنگي نفس و تغيير حال تماس بگيرد..تماس بيمار و درخواست ويزيت براي حال عمومي بد..تماس از بيمار. دوشنبه بستري و جمعه با رضايت شخصي مرخص شده. از ديشب ضعف شديد دارد. تنگي نفس دارد. اكسيژن كمكي در خانه ندارد و نمي تواند براي تهيه ان مراجعه كند. توصيه شد با 115 تماس بگيرد..تقاضاي نمونه گيري خون جهت آزمايش داشتند هماهنگ شد.تماس از بيمار. درخواست ويزيت پرستاري براي نمونه گيري فردا صبح ناشتا. لطفا برگه تخفيف ازمايشگاه اريترون هم به بيمار تحويل داده شود.
|
Patient requested a doctor's visit: True,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: True,
Decreased level of consciousness: False,
Fever: True,
Respiratory complaints: True,
Insurance/treatment cost issues: True,
Urinary tract issues: False,
Pain: True,
Gastrointestinal issues: True,
|
Nurses were asking for a blood sample for tomorrow. The patient was discharged today. She used to not use aspirin. Today, she was hardly taking a blood sample. The patient was asked by Dr. Abdelfattah whether she was using aspirin or not. They insisted that the doctor himself answer. The patient asked the nurse for a blood sample. The patient did not perform CT scans because of a financial problem and on the one hand because, according to the surgeon, the surgery was not possible because of lung problems. The patient was hardly walking indoors and hardly cooking, but they were not able to walk outside alone and even bathe alone because of imbalance between the pain in the scalp and the underlying organs. They said drugs cause hives but they don't completely control the pain. I got a medical history showing that the patient only takes a number of aspirin pills at night. The training was needed. It was going to be the first step, to ask the patient's doctor, Dr. Nekoy, for an oxytocin prescription. The patient had a foot ache. He had no oxygen at home and he couldn't turn on the air. It was sent a picture. The foot ache was normal due to the fall of the toes of his toes in the meat. Teaching. As the blood sugar was measured the patient was asked to be discharged tomorrow. The patient had an injured finger. It was going to be done with prior coordination. The patient had pain between the shoulders spreading to the neck and the upper organs along with the rash. Due to the persistence of the patient, an ECG was requested for the patient and a nurse's visit was arranged. The patient was asked for a blood sample. Very little movement and with the help of Walker. The patient was told by Dr. Nekoy that he promised the patient 300,000 rupees in cash that would be made available for further guidance. The patient was contacted. He had fever, pain and diarrhea. It was said that he was likely to get cramps. It was recommended to take aspirin and vitamin C. It was also said to contact him in case of diarrhea. The patient was contacted. The patient was contacted and requested for a bad general condition. The patient was discharged on Monday and Friday with personal consent. He has severe diarrhea. He has no oxygen at home and he cannot turn on the air. It was recommended to contact 115. The patient was contacted for a blood sample for tomorrow morning. The patient was requested for a blood sample. The patient was transferred.
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397,021,081
|
تقاضاي پرستار جهت وصل سرم تجويزي پزشك مركز را داشتند هماهنگ شد.بيمار در حال دريافت سرم آلبومين بوده است كه رگ خراب شده است جهت اقدام پرستاري هماهنگ شد.تماس از همسر بيمار كه درخواست ويزيت در منزل داشت.مي گويد بيمار بي حال است و از ديشب قادر به راه رفتن و غذا خوردن نمي باشد..تماس از همسر بيمار جهت پيگيري نوبت هوم ويزيت كه عرض شد همين چند روز با ايشان هماهنگ مي گردد..درخواست اعزام پرستار جهت وصل سرم داشتند . با هماهنگي آقاي شعربافچي زاده براي فردا نوبت داده شد..با مصرف سرم پاها دچار ورم شده است راجع به نحوه مصرف داروها سوال داشتند كه راهنمايي لازم شد.ارتباط كلامي بسيار دشوار با همسر بيمار( افغان). برانول مشكل پيدا كرده. به سختي متوجه و راضي شان كردم كه برانول را خارج كنند و سرم و آلبومين نيمه استفاده شده را دور بيندازند و چون سه روز بيمار NPO بوده و داروي IV احتمالا اثر كرده ، راهنمايي شدند به قرص و گاواژ.
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Patient requested a doctor's visit: True,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: True,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
The nurse's request to attach my head was matched by the medical examiner's examination. Bemar was receiving the albums, the veins were broken. The nurse's request was matched by the wife of the patient who was applying for vitamins at home. I say the patient's restless and can't walk and eat in the evening. The nurse's request was matched by the wife of the patient to find out the timing of the vitamins, which showed up a couple of days ago. The nurse's request was matched by the appointment of Mr. Potiphari Babachi for tomorrow. He had a sore throat and legs. They were asking him how to take the medications, and he needed guidance. Very difficult communication with the wife of the patient. Branol was in trouble. I found it very difficult to understand and to be happy for them to take out Branol and walk around with my head and half of the albums, and because I had been an NPO for three days and IV drugs were probably working, they were given pills and cough.
|
397,021,086
|
جواب آزمايشات در واتس اپ رويت شد.نرمال بود.FBS:178 كه با توجه به افت قند هاي بيمار تغييري در دوز انسولين داده نشد.توصيه هاي لازم به همراه شد.زخم بستر در قسمت ساكروم در حد خونريزي دهنده است.قرار شد عكس زخم را بفرستند تا با خانم رسولي مشورت شود..تماس پسر بيمار.هوشياري خيلي خوب نيست و تغييري نيز نداشته است. بيمار NGT را خارج كرده است و درخواست پرستاري دارند.آزمايش خون نيز لازم است..تماس از همسر بيمار. دست چپ ادم كرده و دردناك است. كبودي ندارد. اموزش هاي لازم داده شد..تماس از پسر بيمار. NG tube را دراورده. ويزيت پرستاري هماهنگ مي شود..بيمار لوله معده را در آورده است لازم است در اسرع وقت تعبيه شود امروز به مقدار كم غذا خورده است.پسر تماس گرفت .NG انسداد يافته و با آموزش هاي انجام شده هم باز نشده است. داروهاي شب داده نشده است.درخواست اعزام پرستار دارد..خانم دكتر دهقاني تماس گرفتند. لوله معده بيمار دچار گرفتگي شده است. پرستار هماهنگ و اعزام شد.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: True,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: True,
|
The results of the tests were posted on the WhatsApp. It was normal. FBS:178. No changes in the insulin dosage were given due to a decrease in the patient's glucose. Recommendations were given. The bedside hemorrhage in the sacral lobe is critically bleeding. He decided to send a picture of the wound to counsel Ms. Atsushi. (Applause) The patient's son. He's not feeling well and has no changes. The patient has taken out the NGT and is in need of care. He needs a blood test. (Applause) The patient's wife. Her left hand is swollen and painful. She has no testicles. Recommendations were given. (Applause) The patient's son has taken out the NG tube. (Applause) The nurse's office is coordinated. (Applause) The patient has taken out the pancreas. (Applause) He has been malnourished today. (Applause) The nurse's office is coordinated. (Applause) The patient has not been opened with training. (Applause) No night medicines were given. (Applause) She is in need of a nurse's deployment. (Applause) The doctor's mom called. (Applause) The patient's pancreas has been taken out. (Applause) The nurse is coordinated and sent.
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397,021,088
|
همراه بيمار گزارشي از سوزش و خارش محل كلستومي و اطراف آن را داد دفترچه بيمار پيدا شده است ولي داروهاي تجويزي قبلي را نگرفته اند توصيه به مصرف داروهاي موضعي شد و قرار شد جهت تجويز دفترچه بيمار را به مركز بياورند
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: True,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
Along with the patient, he gave a report of sore throats and scalpels in and around the clinic. The patient's office was found, but they hadn't seen their screening pills before, and they were prescribed local medications, and they were going to bring the patient's office to the center for screening.
|
397,021,098
|
كموتراپي كرده و طبق روال قبل شرح حال تهوع و استفراغ شديد و عدم تغذيه مي دهد.پرستار جهت تزريق سرم و كنترل تهوع لازم دارد..همراه بيمار گزارشي از تب شب قبل ناخوشي و تهوع بيمار داد روز شنبه كموتراپي شده است جهت بررسي تب و نوتروپني به بيمارستان راهنمايي شدند.تقاضاي پرستار جهت كنترل تهوع و استفراغ و وصل سرم طبق روال قبل(بعد از كموتراپي)داشتند.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: True,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: True,
|
He's undergoing intensive care, and according to the prescribed procedure, he has a history of severe diarrhea and vomiting and malnutrition. He needs an inhaler to operate on his head and control the diarrhea — the whole patient has a history of last night's bad fever and diarrhea — and on Saturday, he's undergoing intensive care to see if he has a fever and a pneumonia, and he's being referred to the hospital.
|
397,021,109
|
بيمار از درد تمام استخوانها شاكي است قرار شد به متخصص داخلي مراجعه نمايد در ضمن بعلت INR بالا وارفارين تعديل شده است داروهاي ضد تشنج مصرف مينمايد كه نام آنها را نميدانست
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: True,
Gastrointestinal issues: False,
|
The patient suffers from pain in all of his bones, and he has to go to an internal anesthesiologist, and by the way, because of the INR, he's been adjusted to take anti-seizure medications that he doesn't know what they are.
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397,021,123
|
خواهر بيمارتماس گرفت و اظهارداشت به علت شت و شوي دست ها به علت پيشگيري از كرونا پوست دست ها دچار قرمزي شده و توصيه شد از كرم اوسرين 5% استفاده كنند و پس از سه روز در صورت برطرف نشدن التهاب تماس بگيرند.به علت متاستاز در طول 2 سال گذشته كموي تزريق شده و در حال حاضر فرم خوراكي دارو در حال استفاده است.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
The patient's sister contacted her and said, "" You know, because of the bruises in the hands, because of the prevention of skin cramps in the hands, you've got redness in the hands. "" She was told to use a five percent reduction in arthritis and to contact within three days if it's not cured. "" She's been operated on for the last two years because of metastasis, and she's currently on a diet.
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397,021,125
|
دختر بيمار تماس گرفت. گزارشي از خواب آلودگي شديد بيمار ميدهد. فشار پس از خوردن مايعات به 11 روي 9 رسيده است. عنوان ميكند كه بيمار سرفه ميكند اما در جواب آنها وقتي صدايش ميكنند واكنشي نشان نميدهد. سرعت تنفس را در 30 ثانيه 12 اعلام ميكند. توضيح داده شد كه بهتر است امشب بيمار جهت بررسي به بيمارستان انتقال يابد اما تمايلي نداشتند و مقرر شد فردا جهت كنترل علائم حياتي بيمار و بررسي وضعيت وي با توجه به عدم امكان اعزام پزشك به علت نوبت ساير بيماران، پرستار اعزام گردد..همراه بيمار گزارشي از تب 38 درجه از امروز صبح داد افت فشار نداشته ولي همچنان زخمها در حال واكيوم تراپي است بر تداوم استامينوفن و دگزامتازون جهت كنترل تب و شروع آنتي بيوتيك خوراكي تاكيد شد در صورت افت فشارخون يا تغيير حال عمومي بيمار با 115 تماس بگيرد.دختر بيمار تماس گرفت. به علت تب از دو روز پيش و وجود سوند ادراري به دستور دكتر علوي براي بيمار UA &UC ارسال شده است . جواب UA توسط دكتر علوي رويت شده و سيپروفلوكساسين 500 به صورت دوازده ساعت شروع شده .در ويزيت قبل تاوانكس قطع شده است .در ويزيت امروز دماي بدن 38 گزارش شد. علايم سپسيس چك شد. استامينوفن شش ساعته داده شود و كنترل تب انجام شود. توصيه شد تا فردا كه جواب كشت رويت شود و به اطلاع دكتر علوي جهت اقدامات لازم رسانده شود..دختر بيمار تماس گرفت . اظهار داشت بعد از خوردن استامينوفن دو بار استفراغ داشته و دماي 38 دارد. رگ بيمار شب گذشته به علت حمام خارج شده است. دستور تزريق اپوتل در سرم نرمال سالين و دميترون عضلاني داده شد. علايم حياتي stable گزارش شد.رگ گيري توسط پرستار خارج از مركز انجام شد..همراه بيمار مجدد تماس گرفت استفراغ بيمار همچنان ادامه دارد قرار شد دگزامتازون به جاي فردا امشب تزريق شود.دختر بيمار تماس گرفت. در طول يك هفته گذشته مشكل تنفسي تشديد شده است . در حال حاضر با دريافت اكسيژن 6 ليتر در دقيقه اشباع 90% است. تب ادامه دارد. قبلا به تاوانكس خوب جواب مي داده قرار شد 5 روز تاوانكس 750 دريافت كند. با همراه راجع شرايط پايان حيات صحبت شد . تب و ديسترس تنفسي وجود داشته و شك به بيماري كرونا هم جزو DDX هست به علت poor prognos بودن علاقه اي به بستري ندارند و لزومي هم جهت تشخيص قطعي نيست . به همراه توصيه هاي ايمني و بهداشتي لازم شد.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: True,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: True,
Fever: True,
Respiratory complaints: True,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: True,
|
The patient's daughter got in touch. She has a report of severe sleep apnea. Pressure has increased to 11 over 9. She says she's coughing, but she doesn't turn on her voice when they say she's coughing. She says she's breathing in 30 seconds. She says she's better off to go to the hospital tonight, but she's not ready. She says she's scheduled for tomorrow to control her vital signs and examine her condition and, given the absence of a doctor because of the other patients' turn, a nurse is sent. The whole patient has a report of fever of 38 degrees this morning, she has no pressure, but her wounds are still streaked with venom. She calls 115 if she has a low blood pressure or a change in the general condition. The doctor is in touch. She has a report of fever of two days ago and urinary incontinence on the administering physician's order for UA &UC. The administering physician's order for UA is included in routine and ciprofloxacin 500 begins in 12 hours. The pre-vaccination vaccine is discontinued. The administering physician's order for today's vaccine is 38 degrees. My symptoms are now clear. I've had my vitamin D taken for six hours and I've had my fever controlled. The patient's vein has been taken out of the bath last night. The administering physician's order for my normal bone marrow and my kidney donor is given. The vital signs are stable. The patient's vein has been taken out of the center. The whole patient is in touch again. The patient's vein is still on the administering physician's order for tomorrow's vaccine. The doctor is in touch. The respiratory problem has been exacerbated over the past week. Currently, 90 percent of the UA is taken in a minute. The fever continues. It's been well received in Taiwan for five days. 750 doses of ciprofloxacin have been taken in a minute. There has been a fever and respiratory distress and a DDX is also present because of poor prognosis and there is no need for diagnosis. There has been a need for immunity and health.
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397,021,127
|
سرم بيمار متوقف شده است تلفني در مورد اقدامات لازم راهنمايي شد و در صورت عدم برقراري جهت رگ گيري مجدد پيگيري نمايند.در مورد آسيت ، ادم و عدم تحمل غذاي بيمار سوال داشتند كه راهنمايي لازم انجام شد.همراه بيمار تماس گرفت. گزارش افت فشار ميدهد. BP:7. توصيه شد با 115 تماس بگيرند.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: True,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
The patient was stopped in my head, the phone was called, and they were advised what to do if they couldn't get the blood vessel back, they were asked questions about the pain, the diarrhea, the malnutrition, they were advised what to do. The patient was called all over. He was reported to have low blood pressure. BP: 7. They were told to call 115.
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397,021,134
|
تماس پسر بيمار. شكايت از تنگي نفس و DOE. درخواست ويزيت دارند.
|
Patient requested a doctor's visit: True,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: True,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
Patient's son calls. He has a heart attack. DOE. They're applying for a visa.
|
397,030,018
|
عروس بيمار تماس گرفتند.بيمار از تهوع و سرگيجه شكايت دارد.گاهي اوقات SBP= 180 دارد.قرار است فردا در منزل ويزيت شوند..عروس بيمار تماس گرفتند.همسر بيمار بدليل ابتلا به بيماري غير از كنسر نياز به دستگاه اكسيژنساز دارد.با توجه به كمبود اين دستگاه براي بيماران مركز و پس از صحبت با خانم سيف الهي قرار شد در صورت امكان در جهت كمك هزينه شارژ كپسول اكسيژن به بيمار كمك شود.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: True,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: True,
|
The wife of the patient got in touch. Barbara was having diarrhea, peeing, sometimes she had SBP 180, she was going to be in the vet tomorrow. The patient's grandmother got in touch. All the patients, because they had a non-carcinogenic illness, needed an oxygen machine, because the machine was in short supply for the central patients, and after talking to Ms. Sif-hee, she was going to help, if possible, to save the cost of recharging the patient's oxygen capsule.
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397,030,176
|
بيمار 10-12 روز گذشته مبتلا به زونا شده اند، در حال حاضر ضايعات پوستي بيمار رو به بهبود است ولي از درد شديد عليرغم مصرف گاباپنتين 300 هر 6 ساعت شكايت دارند، برايشان نورتريپتيلين شبي يكي نيز نسخه شده بود كه استفاده نكرده بودند توصيه شد پرگابالين 75 هر 8 ساعت، گاباپنتين 300 و نورتريپتيلين هر شب به ايشان داده شود در صورت عدم كنترل درد بيمار با كلينيك تماس گرفته شود تا در صورت امكان برايشان ويزيت تيم پزشكي گذاشته شود.همراه بيمار تماس گرفتند و ذكر كردند كه بيمارشان همچنان از درد زونا شكايت دارد براي ايشان توضيح داده شد كه با توجه به اينكه عليرغم تغيير رژيم دارويي همچنان درد بيمار كنترل نشده است لازم است بيمارشان توسط متخصص نورولوژي و يا متخصص داخلي ويزيت شوند.دختر بيمار تماس گرفتند.راجع به تزريق واكسن كرونا سوال داشتند. با توجه به اينكه در حال كموتراپي بوده و 3 هفته قبل نيز به زونا مبتلا شده است توصيه شد با اونكولوژيست معالج( دكتر عارف پور) در اين رابطه مشاوره نمايند. درد ناشي از زونا بطورنسبي كنترل شده است..دختر بيمار تما سگرفتند. بيمار حدود 2 ماه قبل مبتلا به زونا شده و ضايعات بهبود يافته است . اما همپنان از درد شديد محل ضايعات شكايت دارد.گاباپنتين و نورتريپتيلين را بصورت نامنظم مصرف كرده است. توصيه به مصرف منظم و افزايش دوز شد.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: True,
Gastrointestinal issues: False,
|
The patient had been diagnosed with gonorrhea for the past 10 or 12 days, and the patient's skin is now healing, but they still have a lump of gonorrhea despite taking 300 caps of gonorrhea every six hours, and they've also been prescribed one-night opioid that they didn't use, and they've been advised to take 75 caps of gonorrhea every eight hours, 300 caps of gonorrhea and one-night opioid every night, and if they don't manage their pain, they've been contacted by clinicians to get them a medical appointment if they can, and they've been contacted by their doctors, and they've been asked about the invasion of the coronary artery, and they've been counseling, because they've been undergoing trauma, and they've also had a lump of gonorrhea three weeks ago, and they've had a relatively controlled lump of gonorrhea, and they've been given Tama. The patient had a lump of gonorrhea about two months ago, and the skin is now healing, but the gonorrhea is where the lump of gonorrhea is. They've been taking the gonorrhea and the opioid on an irregular basis, and they've been advised to take the gonorrhea regularly and increase the dosage.
|
397,030,219
|
بيمار تماس گرفتند.از درد اندامهاي فوقاني با ارجحيت سمت چپ شكايت دارد.درد بيشتر در ناحيه شانه بوده و بصورت مداوم ميباشد و با فعاليت تشديد ميشود.تاكنون بررسي توسط پزشك معالج انجام نشده و دارويي نيز تجويز نشده است.توصيه شد استامينوفن مصرف نموده و نتيجه را اطلاع دهد..همسر بيمار تماس گرفتند.بيمار از چند روز قبل دچار ضايعات دهاني دردناك شده است.توسط پزشك ويزيت شده و دارو تجويز شده است.مقرر شد در منزل ويزيت شوند..همسر بيما رتماس گرفتند. بيمار از روز گذشته دچار تهوع و استفراغ شده است (2 نوبت).از 2 روز قبل defeacation نداشته است.gas passing دارد.دارو تجويز شد.مقرر شد در صورت عدم پاسخ به دارو پس فردا در منزل ويزيت شوند..همسر بيمار تماس گرفتند.براي بيمار بدليل احتباس ادراري فولي تعبيه شده است.امروز يك نوبت defeacation تيپ 2 داشته است.با توجه به اينكه ممكنست علت احتباس ادراري constipation باشد توصيه شد در صورت كنترل يبوست جهت خارج كردن فولي اطلاع دهند..همسر بيمار تماس گرفتند.درد و vomiting و constipation بيمار كنترل شده است.به نظر ميرسد امكان خارج كردن فولي وجود دارد.ويزيت پرستاري انجام خواهد شد..خواهر بيمار تماس گرفتند. بيمار از يك هفته قبل با وجود مصرف لاكساتيو defeacation موثر نداشته است.علايم دال بر وجود feisure دارد.توصيه هاي دارويي و غير دارويي انجام شد..خواهر بيمار تماس گرفتند.بيمار ديسفاژي دارد.هوشياري كاهش يافته.در ترمينال فاز است.توصيه به comfort care و مصرف ice cheaps شد..خواهر بيمار تماس گرفتند.علايم بطورنسبي كنترل شده است.درخواست آمپول مورفين دارد.توصيه شد جهتدريافت نسخه مورفين به بيمارستان فيروزگر مراجعه نمايد..همسر بيمار: بيمار فوت شدند.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: True,
Gastrointestinal issues: True,
|
The patient was contacted. He suffered from pain in the upper organs with a probability of left-hand abscess. He suffered more in the shoulder area and is continuously contracting and decreasing with activity. Now no visits have been performed by the the therapist and no medications have been recommended. He was advised to take aspirin and report the result. All the patients were contacted. Birma had painful chest injuries a few days ago. He was advised to be sedated by the therapist and the medications have been recommended. He decided to be at the residence of the physician. He had gas passing. He was advised. He decided to be at the residence of the physician tomorrow if he did not respond to the medications. All the patients were contacted. The patient was monitored for urinary constipation. He had a defeacation tape 2 once a day. It is recommended that if the urinary constipation is likely to be the cause, report it. All the patients were contacted. The patient's vomiting and constipation is controlled. It appears that the urinary constipation is possible. Nursing will be done. If the patient is contacted. The patient had no effective defeacation from a week ago despite the use of laxatives. Drugs and non-drugs were recommended. All the patients were contacted. Birma has dispersal. He has reduced fever. It is in the phase terminal. It is recommended that you take comfort care and ice cheaps. All the patients were contacted. It is relatively controlled. He has a request for amorphine. It is recommended that you do not visit the Pharaoh Hospital. All the patients: The patient died.
|
397,030,312
|
پسر بيمار تماس گرفتند.بيمار دو عدد كاتاتر در ناحيه شكم دارد!كه يكي از آنها فانكشن ندارد.بيمار از درد محل كاتاتر نيز شكايت دارد.امروز عصر در منزل ويزيت خواهند شد .
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: True,
|
The son of the patient is called. He has two catheters in his chest, none of which is flashing. He also suffers from catheter pain. They'll be in the elevator this evening.
|
397,030,386
|
بيمار تماس گرفتند.از درد نواحي سمت راست شكم كه بصورت مداوم بوده و به محل ديگري انتشار ندارد.تهوع و استفراغ و بي اشتهايي ندارد.توصيه به مصرف استامينوفن و انجام سونوگرافي شد. بيمار همچنان در كيش بسر ميبرد..بيمار تماس گرفتند.از ضعف و بيحالي ودرد شكم شكايت دارد.به دستور پزشك معالج MRI انجام شده اما گزارش آن هنوز حاضر نشده است.با استامينوفن درد كنترل نشده است.بيمار 2 هفته قبل از كيش بازگشته است.مقرر شد در منزل ويزيت شود..بيمار تماس گرفتند.از درد منتشر شكم و يبوست شكايت دارد.اخيرا abdominal MRI انجام شده و عود بيماري مطرح شده است.درد بيمار نيز با وجود توده هاي شكمي قابل توجيه ميباشد.قرار است فردا به اونكولوژيست جهت تعيين plan درماني مراجعه نمايد.در حال مصرف گاباپنتين جهت كنترل درد ميباشد كه پاسخ نسبي گرفته است.جهت يبوست و موكوزيت دارو تجويز شد..بيمار تماس گرفتند.از ضعف و بيحالي و اختلال خواب شكايت دارد.درد و يبوست بطور نسبي كنترل شده است.راجع به مراقب قابل اطمينان 24 ساعته سوال داشتند كه قرار شد در اين رابطه پيگيري شود..با بيمار صحبت شد.روز گذشته از بيمارستان ترخيص شده است.كموتراپي انجام شده و P.C دريافت كرده است.از ضعف و بيحالي شكايت دارد.تهوع و استفراغ ندارد.اشتها نسبتا خوبست.مقرر شد تصوير خلاصه پرونده را ارسال كند..بيمار تماس گرفتند.در محل سوزن پورت بدليل جابجايي سوزش دارد.از constipation شاكيست.بيمار فعلا تنهاست و توان تهيه دارو ندارد.مقرر شد ويزيت پرستاري انجام شود..بيمار تماس گرفتند.از 4 روز قبل defeacation نداشته است.gas passing دارد.درد شكم و تهوع و استفراغ ندارد.راهنماييهاي لازم انجام شد.تمايل به مصرف مكمل هاي ويتاميني و پروتئيني دارد كه قرار شد پس از مشورت با آقاي دكتركاوه راهنمايي شود..بيمار تماس گرفتند.راجع به مصرف پودر انشور پس از موافقت آقاي دكتر كاوه به ايشان توضيح داده شد.در حال حاضر constipation ندارد..بيمار تماس گرفتند.روز گذشته از بيمارستان مرخص شده است.زخم دهاني دارد.مقرر شد در منزل ويزيت شوند..بيمار تماس گرفتند.از شدت درد ناله ميكند.براي بيمار قرص اكسي كدون نسخه شده اما تهيه نكرده است.با توجه به اينكه امروز امكان ويزيت در منزل وجود ندارد مقرر شد نسخه را تهيه و سپس تماس بگيرند..بيمار تماس گرفتند.بيمار از ضعف و بيحالي شكايت دارد.درد بطورنسبي كنترل شده است .قرار است آخرين جلسه كموتراپي فردا انجام شود.در رابطه با نحوه تغذيه سوال داشتند كه توضيحات لازم داده شد..بيمار تماس گرفت. راجع به امكان تزريق سرم جهت انفزيون ويتامين C سوال دارد. گفته شد در صورت امكان تغذيه PO و فشار مناسب نيازي به تزريق سرم نيست.
|
Patient requested a doctor's visit: True,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: True,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: True,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: True,
Pain: True,
Gastrointestinal issues: True,
|
The patient was contacted. He had pain in the right side of his chest that was continuing and not spreading elsewhere. He had diarrhea and vomiting and no symptoms. He was advised to take aspirin and to do a sonography. The patient was still in the bag. He was contacted. He had weakness and diarrhea and vomiting. MRI was performed on the the therapist's orders but the report was not yet available. With aspirin the pain was not controlled. He was returned to the bag two weeks ago. He was determined to be at home with vitamins. He was contacted. He had disseminated pain in his chest and he had eczema. An abdominal MRI was performed and a recurrence of the disease was reported. The patient could also be referred to the oncologist tomorrow to determine the treatment plan. He had Gabepantin to control the pain that received a relative response. He had eczema and mocositis adjusted. He was contacted. He had weakness and diarrhea and sleep disturbance. He had weakness and diarrhea that was adjusted. He had eczema and vomiting and no symptoms. The symptoms were relatively good. He was determined to send a brief picture of the case. He was contacted. He was at the point of transfer of the needle. He suffered from constipation. He is now alone and cannot be sedated. He was determined to take nursing vitamins. He was contacted. He had no defeacation four days before. He has gas passing. He had no diarrhea and vomiting. The necessary procedures were performed. He had a tendency to take vitamins and protein supplements that was to be guided after consultation with Dr. Decaux. He was contacted. He was contacted. He had a powder of infusion that was adjusted after consultation with Dr. Decaux. He is contacted. He has no constipation at present. He was discharged from the hospital. He has a pneumonia. He was determined to be at home with vitamin C. He was contacted. He had severe nasal pain that was adjusted 24 hours ago. He was contacted but was not sedated. He was contacted. He has weakness and vomiting. He was contacted. He was contacted. He was contacted relatively well tomorrow. He was contacted. The last counselor meeting was scheduled to be held. He had questions that explained the necessary nutrition. He had questions about the possibility of infusion of vitamin C. He was told that he could not be sedated in the case of PO and adequate pressure.
|
397,030,611
|
همسر بيمار تماس گرفتند.در اثر تماس كيسه آب گرم ناحيه ديستال ساق پاي چپ دچار سوختگي درجه 2 شده كه از 3 روز قبل در حال استفاده از موپيروسين ميباشد.بر اساس تصوير مشاهده شده بنظر ميرسد زخم infected شده است.توصيه شد بمدت 2 روز از پماد موپيروسين استفاده نموده و مجددا تصوير آن ارسال شود..همسر بيمار تماس گرفتند. تصوير زخم ناشي از سوختگي رويت شد.مركز زخم بهبودي نسبي داشته اما اريتم اطراف آن افزايش يافته است.توصيه به مصرف آنتي بيوتيك خوراكي شد..همسر بيمار تماس گرفتند.هوشياري بيمار طي 2روز گذشته بتدريج كاهش يافته و تنفس نامنظم دارد.به تحريك صوتي پاسخ نميدهد.به نظر ميرسد بيمار در dying phase است.اورژانس بر بالين بيمار حاضر شده و خانواده تمايلي به انتقال به بيمارستان نداشته اند.توصيه هاي لازم انجام شد و مقرر شد در صورت لزوم جهت صدور گواهي فوت اطلاع دهند.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: True,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
The patient's wife got in touch. Due to the touch of a hot water bottle in the Destital area, the left leg had a 2nd degree burn that had accumulated from three days before using paroxetine. Based on the image taken, it looks like the wound was infected. She was advised to use paroxetine soil for two days and to send the image back. All the patients got in touch. The scar scar tissue came out of rosette. The focus of the wound was relatively good, but the arrhythmia around it was increasing. The prescription for bionic antennae was given. All the patients got in touch. The patient's fever for the past two days has been gradually decreasing and he is breathing impaired. He is not responding to acoustic movement. It looks like the patient is dying phase. Agency was present on the patient's wrist and the family did not have any inclination to move to the hospital. The necessary recommendations were made and made to inform them when necessary to issue a death certificate.
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397,030,633
|
همسر بيمار تماس گرفتند.بيمار تنگي نفس دارد كه با اكسيژن بطور نسبي بهبود مي يابد.اما قرار گرفتن ماسك بيمار را كلافه كرده است.توصيه شد از سوند نازال استفاده كرده و نتيجه را اطلاع دهد..طي تماس تلفني همسر بيماراذعان مي دارد كه از يك ماه پيش افت اكسيژن (با پالس اكسي متري )شده است .حتي با قطع آن به 34 مي رسد وبا دستگاه به 95-90 مي رسد وبا قطع آن كبود مي شود .با توصيه متخصص ريه نياز به بستري دارد . سابقه عمل جراحي ريه دارد وقسمتي از ريه اش رابرداشته وشيمي درماني هم ميشود . 1- توصيه شد گروه پزشك وپرستاري واحد H.C بيمار را ويزيت نموده وبراساس گزارش واحدH.C در مورد ضرورت يا عدم ضرورت بستري ايشان تصميم گيري شود..همسر بيمار تماس گرفتند.بيمار از اسپاسم هاي عضلاني شكايت دارد كه از حدود 2 هفته قبل شروع شده .داروهاي بيمار بررسي شد. دوز كويتياپين از يك ماه قبل افزايش يافته و اسپاسم عضلاني از عوارض نادر آن است.احتمال اختلال الكتروليتي پارانئوپلاستيك نيز وجود دارد.توصيه به انجام آزمايشات شد.فعلا دارو تجويز شد..همسر بيمار تماس گرفتند.درد بيمار كنترل نميباشد.بيمار تمايل دارد جايگزين اوپيوم از داروي مخدر استفاده نمايد كه با توجه به opium addict بودن بيمار بنظر ميرسد گزينه مناسب شروع متادون باشد.كه مقرر شد در اين زمينه اقدامات لازم انجام شود.بدليل تشديد افسردگي دوز كويتياپين و سيتالوپرام افزايش داده شد.o2sat بيمار بدون اكسيژن حدود 40% است..همراه بيمار درخواست مراجعه جهت تجديد نسخه خانم دكتر مرتضي داشتند كه راهنمايي لازم انجام شد.همسر بيمار تماس گرفتند. اعضاي خانواده مبتلا به كرونا شده اند و بيمار در بيمارستان بستري است..همسر بيمار تماس گرفتند.بيمار پس از بهبودي از كرونا بسيار تحريك پذير و پرخاشگر شده است.بيمار سابقه اختلال روانپزشكي داشته و در حال مصرف دارو ميباشد.مقرر شد پس از ارسال خلاصه پرونده تصميمي گيري شود..همسر بيمار تماس گرفتند. بيمار از شب گذشته بصورت تدريجي دچار كاهش سطح هوشياري شده است.بيقراري ندارد.همچنان در صورت عدم استفاده از اكسيژن دچار افت شديد o2sat ميشود.توصيه شد با 115 تماس گرفته شود..همسر بيمار مجددا تما س گرفتند. طبق گفته تكنسين اورژانس علايم حياتي غير از o2sat پايدار است.خانواده تمايلي به انتقال به بيمارستان ندارند.مقرر شد در اولين فرصت در منزل ويزيت شوند.
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Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: True,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: True,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
The patient's wife got in touch. She's depressed. She's recovering relatively well with oxygen. But she's about to clutch the patient's nose. She's about to use a nasal inhaler to report the results. She's in touch on the phone. She reports that the oxygen has dropped since a month ago. She's reached 34 by cutting it. She's reached 95-90 by machine cutting it. She needs to be in the hospital on the recommendation of a lung specialist. She has a history of lung surgery and she's taken a section of her lung and she's undergoing a therapy. 1- The physician and the H.C. unit examined the patient and decided on the basis of the H.C. unit's report whether or not they needed to be in the hospital. All the patients got in touch. She has contracted muscle spasms that began about two weeks ago. The patient's symptoms were examined. The dosage of creatinine had increased since a month ago and the muscle spasms were showing very rare symptoms. Probably there was paranoid electrolytic disorder as well. Tests were recommended. The drug was indeed tailored. All the patients got in touch. The patient's chest wasn't regulated. She preferred not to use opium as a drug which, given the patient's addiction to opium, seemed to be a good choice for starting her metabolism. That's what was scheduled to be done in this context. The depression was reduced. The dosage of creatinine and cytoplasm was increased. O2sat, the patient without oxygen, was about 40%. All the patients applied for a referral to re-evaluate the prescription of the woman's doctor, which was done with the necessary guidance. All the patients got in touch. Family members with cancer and the patient is in the hospital. All the patients got in touch. She was very agitated and agitated after recovering from cancer. She had a history of psychopathic disorder and was on medication. It was decided to be in touch after a brief decision. All the patients got in touch. The patient gradually lost consciousness since last night. She doesn't know. Also, if she doesn't use oxygen, she has a very low o2sat. It was recommended to get in touch with 115. All the patients got in touch again. According to emergency technology, non-o2sat is lasting. Family members don't like to be in the hospital. It was decided at the first opportunity to be in the home.
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397,030,644
|
فوت بيمار در منزل را اطلاع دادند و تقاضاي صدور گواهي فوت داشتند كه هماهنگ شد
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
They announced the death of the patient at home, and they requested a death certificate, which was filed.
|
397,030,694
|
همراه بيمار طي تماس تلفني : مقرر شد در صورت تكرار با اورژانس منطقه تماس بگيرند شستشوي معده اقدام كنند پنتوپرازول +
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
With the patient on the phone: ordered to repeatedly call the emergency room, dialysis, PET +.
|
397,070,217
|
بيمارجهت نوشتن نسخه آزمايش ودارو تماس گرفته بودندكه هماهنگي هاي لازم توسط خانم محبوبي جهت اخذنوبت براي درمانگاه دكترشيرنگي انجام شد.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
The hospital had written the prescription for the trial, and they were contacted about the arrangements that had been made by a very popular woman to take her to the doctor's office.
|
397,070,281
|
بيمار تماس گرفتند.تنسموس و اسهال بهبود يافته است.ازدرد ناحيه لگن و پرينه به هنگام هر گونه اتساع در آن ناحيه شكايت دارد.ممكن است درد نوروپاتيك و ناشي از عمل جراحي هيستركتومي باشد .گاباپنتين تحويز شد و قرار شد بعد از 48 ساعت اطلاع دهند..بيمار تماس گرفتند.همچنان از درد ناحيه پرينه به هنگام دفع شكايت دارد كه بنظر ميرسد نوروپاتيك باشد.هنوز گاباپنتين را شروع نكرده.آزمايشات رويت شد.در محدوده نرمال است.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: True,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: True,
Gastrointestinal issues: False,
|
The patient got in touch. The lymph nodes were repaired, the diarrhea was cured. He had pain in the pelvis, pain in the periphery of the pelvis, whatever the extension in that part of the pelvis might be. He might have had neuropathic pain, he might have had haemorrhagic surgery. Gabepantene was diluted, and he was going to report back in 48 hours. The doctors got in touch. He also had pain in the periphery of the pelvis when he contracted the fever, which seems to be neuropathic. He didn't start taking Gabepantene. The tests were routine. It's in the normal range.
|
397,070,282
|
دختر بيمار تماس گرفتند.از محل كاتاتر سوپراپوبيك ليك دارد.يك ونيم ماه قبل تعبيه شده است.مقرر شد توسط آقاي مهابادي در منزل ويزيت و كاتاتر تعويض شود..دختر بيمار: بيمار فوت شدند.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
The patient's daughter was called. She's on the spot with the Superintendent's Lick. She was sedated a month and a half ago. It was decided to be replaced by Mr. Mahanadi at the Veit and the doctor. Patient: The patient has died.
|
397,070,288
|
بيمار تماس گرفتند.بعلت پلي سايتمي (HB=19/6) به دستور پزشك معالج نياز به فصد خون دارد.با آقاي دكتر ابرقويي جهت انجام اين امر در درمانگاه نزديك منزل بيمار صحبت شد و به ايشان اطلاع داده شد..بيمار تماس گرفتند.نگران addiction ناشي از مصرف اكسي كدون ميباشد.توضيحات لازم به خود بيمار و مادر ايشان داده شد.مراجعه به درمانگاه خانم دكتر قلي زاده پيشنهاد داده شد.اما تمايلي به خروج از منزل ندارد.( بدليل ترس از كرونا و تنگي نفس FC3).خواهر بيمار تماس گرفتند.مقرر شد جهت بررسي نياز به مخدر در بخش طب تسكيني بستري شوند..خواهر بيمار تماس گرفتند. بيمار بيقرار است. بصورت مداوم گريه ميكند و درخواست بستري دارد.قرار بوده با توصيه دكتر حزيني در بيمارستان حضرت رسول بستري گردد! با توجه به اينكه در حال حاضر امكان بستري در بخش طب تسكيني ياس نميباشد توضيحات لازم در اين زمينه داده شد.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: True,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: True,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
The patient called. HB = 19 / 6, the physician ordered blood. Dr. Aberdeen talked to the doctor to do this in the clinic near the patient's home and was informed. They called. The people who became addicted to cocaine were informed. The patient and their mother were given the necessary explanations. She was advised to go to the doctor's office. She was unwilling to leave the hospital. (Excuse me for fear of C-section and hypotension.) The patient called. The doctor decided to investigate the need for drugs in the palliative care department. The patient was despondent. The patient cried all the time and demanded hospitalization. The doctor decided to go to the agonizing doctor's office in the Apostle's Hospital. Given that there is currently no possibility of hospitalization in the palliative care department, the necessary explanations were given.
|
397,070,336
|
بيمار تماس گرفتند.از سردرد از چندماه قبل شكايت دارد كه با مصرف استامينوفن بهبود مي يابد . طي هفته هاي اخير دچار ديسفا ژي شده است.مقرر شد در منزل ويزيت شوند..بيمار تماس گرفتند.بيمار و همسرشان از 3 روز قبل علايم مشكوك به كرونا پيدا كرده اند.توصيه شد با توجه به شدت علايم به مركز درماني مراجعه نمايند..برادر بيمار: بيمار در بيمارستان بهارلو فوت شدند.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: True,
Gastrointestinal issues: False,
|
The patient was called. He had a fever a few months ago that he was recovering from, taking vitamin A. He had a diphtheria in the last few weeks. He decided to go to the vet's house. Bemar was called. Bemar and his wife had suspected C-section three days earlier. They were referred to the ICU for urgent follow-up. Patient's father: The patient died at the Hararelo Hospital.
|
397,070,358
|
دختر بيمار تماس گرفتند. بيمار از حدود 2 هفته قبل بدليل ابتلا به كرونا در بيمارستان نور شهريار بستري بوده است و از يك هفته قبل ترخيص شده است.در آزمايشات لكوسيتوز و باي سيتوپني دارد. WBC=60000/HB=7/3/PLT=4000 در حال حاضر هماچوري دارد.تمايل به بستري در بخش غير از كرونا دارد.توضيحات لازم داده شد. دوروز قبل نيز PCR از جهت covid19 مثبت بوده است.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: True,
Pain: False,
Gastrointestinal issues: False,
|
The daughter of the patient was contacted. The patient had been in the hospital for about two weeks because she had acromegaly. She's been approved for one week. She's in X-rays. She's on BSE. She's got WBC=60000/HB=7/3/PLT=4000. She wants to be in the other part of the cranial cord. She's being monitored. Two days ago, she had covid19 positive for PCR.
|
397,070,359
|
عروس بيمار: بيمار فوت شدند.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
Bride of the patient: The patient has died.
|
398,020,007
|
دختر بيمار جهت تعبيه NG Tube درخواست اعزام تيم داشتند. قبلا هم به ايشان پيشنهاد شده ولي در طول اين مدت از كنار دهان با سرنگ گاواژ داروها داده شده است. در ويزيت اخير دكتر همتي خطر آسپيراسيون را گوشزد كرده اند و خانواده در حال حاضر تمايل به تعبيه لوله دارد.به اطلاع واحد HC رسانده شد. توصيه شد تا تعبيه NG داروهاي ضد تشنج به روال قبل داده شود..پسر بيمار تماس گرفت. بيمار حدود يك ساعت تشنج داشته است. پس از آن قرص فني توئين را يك عدد بيشتر به بيمار داده اند. پس از مشورت با آقاي دكتر شعرباف توصيه شد آمپول دگزامتازون را سه عدد يك روز در ميان و سپس هر 3 روز يك بار استفاده كنند. قرص رهاكين 500 ميلي را هر 8 ساعت و لوبل 500 ميلي را هر 12 ساعت 1/2 مصرف كند. همچنين موقع تشنج نيز يك شياف ديازپام 5 ميلي استفاده كنند.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: True,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
The patient's daughter had requested a team be sent to analyze the NG Tube. They've been offered this before, but over the course of this time, they've been given coughing medication with a coughing needle. At the last visit, they've listened to all the Aspersion Risk Officers, and the family is now eager to analyze the tube. It was reported to HC. It was recommended to give the NG Tube anti-seizure pills first. The patient's father got in touch. The patient had about an hour of seizure. They then gave the patient an extra dose of the tech pills. After consulting Dr. Lisztabaugh, they were advised to take three doses of D-cimethasone a day, and then once every three days. They were advised to take 500 mls of D-cimethasone every eight hours, and Lobster 500 mls every 12 and a half hours. They were also advised to use a five-mile diaphragm during the seizure.
|
398,020,016
|
بيمار ساكن شهرستان مي باشد. با دختر بيمار صحبت شد.هر3ماه يكبار چك اپ مي شوند.لتروزول و كلسيم/D و امپرازول وارامبخش مصرف مي كنند. لنف ادم دارند كه قبلا 7جلسه به مركز آمده است.روحيه بيمار خوب است.اشتها نرمال است.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: True,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
He's a Shank County patient. He's talking to his daughter. They're on a three-month check-up. They're on L-D and C-s and E-s and M-s. They've got an oncologist. They've had seven sessions before. The patient's psyche is good. The symptoms are normal.
|
398,020,018
|
تماس دختر بيمار و گزارش وابسته به تخت شدن بيمار! گزارش استفاده از اكسي كدون براي دردهاي عصبي دست محل كنسر بيمار ! نه دليل درد را مي دانند و نه دليل تجويز اكسي كدون را. بون اسكن بيمار نرمال ولي مربوط به 3 سال قبل بوده است. آخرين آزمايش خون را چند ماه قبل انجام داده اند. توقع HC سريع براي بررسي تمام مشكلات بيمار دارند! با توضيحات فراوان قرار شد خودشان بررسي ها را براي بيمار شروع كنند و پس از مشخص شدن نتايج ، در صورت لزوم HC ، مدارك را به مركز ارائه كنند و رضايت نامه را امضا كنند.
|
Patient requested a doctor's visit: True,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
The patient's daughter's call, the patient's bedtime report, the patient's nerve pain report, the patient's hand pain report, they don't know the cause of the pain, they don't know the reason for the oxytocin. The patient's bone scan is normal, but it's done three years ago. They've done the last blood test a few months ago. HC expects to be quick to look at all of the patient's problems. There's a lot of explanations. They start to look at the patient themselves, and once the results have been determined, if HC needs to, they submit the circuit to the center and sign the consent form.
|
398,020,041
|
صحبت با بيمار. 2 هفته ديگر نوبت ويزيت خانم دكتر همتي (راديوانكولوژيست) دارند. از سرگيجه و نوسان فشار خون شكايت دارد. به كارديولوژيست مراجعه نكرده است. بيمه بيمار درست نشده و در كمسيون پزشكي ازكار افتادگي وي تاييد نشده است. در آزمايش اخيرش بيان مي كند كه پوكي استخوان پيدا كرده و هايپوتيروييدي بدتر شده است. توصيه شد موارد فوق حتما به اطلاع پزشكش رسانده شود. گرفتگي صدا دارد.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
Talk to the patient. Two weeks from now, they're going to see the benefit of Dr. Heather. She's got diarrhea, she's got high blood pressure, she hasn't seen a cardiologist, she hasn't had a home visit, she hasn't been confirmed on the medical board, she says in a recent trial she's got bone lumps, she's got worse hypothyroidism, she's been told she has to report these things to her doctor, it's coming up.
|
398,020,048
|
تماس دختر بيمار و گزارش بي قراري. هشياري مختل نشده است. ويزيت پرستاري براي آزمايش خون لازم است كه از طرف مركز مقدور نيست . قرار شد خودشان هماهنگ كنند و جواب آن را اطلاع دهند. براي كنترل درد قرار شد متادون را Taper و DC كنند و اكسي كدون را افزايش دهند . براي يبوست دارو نمي گيرند ولي با رژيم غذايي مسهل ، مشكلي ندارند.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: True,
|
The girl gets in touch with the doctor, gets an unannounced report, the hygiene is not compromised, there's a nurse's license to test the blood that's not available from the center, they're going to coordinate themselves, they're going to report back, they're going to take Taper and DC drugs to control pain, they're going to increase oxytocin, they're not going to take drugs to induce menstruation, but they're not going to be in trouble with their diet.
|
398,020,075
|
تماس دختر بيمار. خونريزي نسبتا زياد از حلق و بيني بيمار اتفاق افتاده و كنترل شده است. پس از قطع خونريزي ، BP را چك كرده اند 18/10 است. يك قرص متورال 50 ميلي به بيمار داده اند و تماس گرفته اند. سابقه فشارخون هاي بالاتر را نيز داشته اند. اين بار نيز احتمالا BP بالاتر از 18 بوده كه خونريزي اتفاق افتاده است و با خونريزي كاهش يافته و به 18 رسيده است. توصيه شد اگر فشار خون كمتر نشد ، يك عدد كاپتوپريل 25 نيز به بيمار بدهند ولي توضيح داده شد PB كمتر از 14 نشود. در اسرع وقت CBC چك شود..مجدد شرح حال اپيستاكسي مي دهد.در حال حاضر خون بند آمده.Bp:12/7 بوده.امروز قرار است آزمايش خون بدهند.فعلا اقدام خاصي نياز نيست.در صورت تداوم خونريزي زياد توصيه به اورژانس يا درمانگاه جهت تامپون شد..بيمار نيم ساعت قبل بعد از دستشويي اعلام كرده است حالم بد است بدن سرد شده است سابقه ناراحتي قلبي دارد قرص TNGزير زباني استفاده شده است جهت بررسي قلبي توصيه به تماس با 115 شد.تماس از دختر بيمار. از 4-5 روز پيش عطش شديد دارد و دائم اب مي خورد. همچنين پاي راست ورم كرده و درد مي كند و كمي ضعيف شده. گاهي Confused است. مدت زيادي است CBC انجام نداده. هموگلوبين را نمي داند. داروي جديدي شروع نكرده. توصيه شد بيمار براي بررسي احتمال سكته مغزي به بيمارستان منتقل شود.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: True,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: True,
Gastrointestinal issues: False,
|
The girl's call. A relatively high bleeding in the patient's throat and mouth has occurred and is controlled. After the bleeding, they've checked BP for 18/10. They've given the patient a 50-mile mothball and called. They've also had a history of high blood pressure. This time again, BP is probably above 18 when the bleeding occurred and the bleeding is reduced and it's reached 18. It was recommended that if the blood pressure wasn't lowered, they give the patient a number of Captoprill 25, but it was explained that the BP shouldn't be lower than 14. It was recommended that the CBC should immediately check. It's re-evaluating the symptoms. It's currently blocked. BP was at 12/7. It's going to test the blood today. There really is no special action required. In case of continued high bleeding, the emergency room or ward is called to Tampa. Bimarr announced half an hour before washing. I'm badly cold. The body is cold. He has a history of heartache. TNG pills have been used in language to look at the heart. He's called 115. The girl's call. She sneezes a lot from four to five days ago and she's always drunk. She also has a swollen and painful right leg and a little weakened. Sometimes she's Confused. She hasn't done CBC for a long time. She doesn't know homeopathy. She hasn't started a new drug. It's recommended that the patient be transferred to hospital to look at the possibility of a stroke.
|
398,020,081
|
بيمار درد شكم پري امبليكال پيدا كرده است سابقه و علايم رنال كوليك نميدهد سابقه چنين دردي نداشته لازم است از نظر آپانديسيت بررسي شود.بيمار با زخم هاي خونريزي دهنده و كاهش سطح هوشياري به بيمارستان منتقل شده.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: True,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: True,
Gastrointestinal issues: False,
|
The patient had a history of pain in the abdomen, had no history of angina, had no history of anything like that, needed to be looked at for appendicitis, had been transferred to hospital with bleeding wounds and reduced levels of consciousness.
|
398,020,082
|
دختر بيمار تماس گرفت. برانول بيمار خراب شده است و سرم رد نميشود. قرار شد فردا جهت رگ گيري پرستار اعزام شود. با آقاي شعربافچي هماهنگي شد.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
The patient's daughter called. The patient's nose is broken, it's not passing through my head. She's going to be sent tomorrow for a nurse's procedure. She's coordinated with Mr. Potiphar.
|
398,020,086
|
بيمار چند روز قبل اسهال داشته است هم اكنون تب دارد قرار شد تب را كنترل كنند در صورت بروز علايم خطر انتقال و در غير اينصورت فردا آزمايش خون انجام شود در صورت عفونت ويرال ادامه درمان و در صورت باكتريال با توجه به داشتن پورت درمان آنتي بيوتيكي انجام شود.همراه بيمار امروز به خانم دكتر دانش مراجعه نموده است توصيه شده در صورت تداوم تب بشتري شود و نيازي به آزمايش در منزل نيست بيمار امشب لرز داشت توصيه هاي قبلي تكرار شد.همسر بيمار تماس گرفت بيمار همچنان تب داشت مجدد توصيه خانم دكتر دانش مورد تاكيد قرار گرفت
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: True,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
The patient had a diarrhea a few days ago, and now they're going to control the fever if there's a risk of transmission, or if there's a blood test tomorrow, if there's a viral infection, they're going to continue treatment, and if there's a bacterial infection, they're going to be treated with an antenatal biopsy. The patient has all been referred to Dr. Science today, and they're going to recommend that they buy the fever if they continue, and there's no need to test it at home. The patient was shaking tonight, and the recommendations were repeated. The patient has all been referred to Dr. Science again.
|
398,020,113
|
بيمار زخم بستر در ناحيه باتوك دارد در زمان ويزيت پزشك هم داشته است و معاينه شده است قرار شد عكس زخم را بفرستد تا راهنمايي لازم بشود.همسر بيمار تماس گرفت گزارشي از لرز بيمار ميدا د حال عمومي بيمار نسبت به قبل تغييري نداشته است قرار شد تب بيمار را اندازه بگيرد مايعات شيرين به بيمار بدهد و در صورت نياز استامينوفن مصرف شود و در صورت تداوم اين حالت تا يك ساعت ديگر تماس بگيرد در تماس بعدي اعلام كردند بيمار تب دارد و با استامينوفن بهتر شده است قرار شد آنتي بيوتيك مصرف نمايد.بيمار سه روز قبل از بيمارستان مرخص شده است حال عمومي بيمار خوب نيست دارو و غذا مصرف نميكند قند امروز صبح 330 بوده است نياز به ويزيت در منزل دارد.بيمار ديشب بدحال شده به بيمارستان منتقل شده.در ICU بستري است.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
The injured bedside patient in the Bangkok area had been medically examined at the time and was going to send a picture of the wound to get help. Everybody called in reports of tremors in the meds. The general condition of the patient was unchanged. They were going to measure the fever. They were going to give the patient pills. They were going to take aspirin if they needed it. They were going to call in an hour if they needed it. The next call they said the patient had fever and had recovered. They were going to say don't take antibiotics. Bemar left the hospital three days ago. The general condition of the patient is not well. He's not taking any medicines. He's not eating anything. His glucose was 330 this morning. He needs some gasoline at home. Bemar was transferred to the hospital that night. He's in intensive care.
|
398,020,114
|
تكنسين داروخانه جهت تحويل نسخه از طرف همراه تماس گرفت. اظهار داشتند در نسخه نوشته شده سفترياكسون 2 گرمي هر 12 ساعت كه در گفت گو به نتيجه رسيديم اين دوز در بازار دارويي ايران موجود نيست و منظور دكتر كشاورز احتمالا همان يك گرمي با دستور هر 12 ساعت است (روزانه 2 گرم).جهت اطمينان خانواده با دكتر كشاورز تماس حاصل كردم و دستورات دارويي داده شده به خانواده گفته شد.سفترياكسون سه روزه تجويز شده و بعد از ان تاوانكس نسخه شده و پردنيزولون 50 صبح ها يك عدد و عصرها نصف تجويز شده است..دختر بيمار اظهار داشتند محل پانسمان زخم كه ديروز براي بيمار انجام شده است ورم كرده بود و به همين علت ايشان دچار ترس شده و پانسمان را باز كرده است.اريتم واگزودا گزارش نشد. تب ندارد. دو روز پيش توسط پزشكي خارج از مركز ويزيت شده و سفيكسيم 400 روزانه و پماد فني تويئن و موپيروسين نسخه شده و در حال استفاده اند. به ايشان گفته شد كه علامت خطري در حال حاضر وجود ندارد و احتمالا يكي از مراحل ترميمي زخم در زير پانسمان در جريان بوده كه توسط ايشان متوقف شده.عكس زخم در واتس اپ ارسال شد. جهت اقدامات علمي و موثرترعكس به كارشناس محترم زخم ارسال شدو با خانم رسولي مشورت كرده و اقدامات پيشنهادي ايشان به اطلاع خانواده رسانده شد. (خانم رسولي فرمودند خانواده همكاري خوبي در استفاده از پانسمان نداشته و فعلا با توجه به عكس مشاهده شده از زخم شست و شوي زخم با سرم صورت گيرد و از پمادهايي كه دارند با دستور قبلي استفاده كنند).دختر بيمار تماس گرفت. از ضعف شديد شكايت دارد. سرم غذايي تزريق كرده اند اما به خوبي رد نميشود. هوشياري را خوب گزارش ميكند. توضيح داده شد كه در صورت غذا نخوردن نياز به تعبيه NG است. فردا جهت رگ گيري و در صورت نياز تعبيه NG پرستار اعزام خواهد شد.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: True,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
The pharmaceutical company contacted the accompanying company to deliver the prescription. They stated in the prescription that the two-gram intravenous streptococcus per 12 hours that we obtained from the spokesperson was not available on the Iranian drug market and that the farmer's doctor meant probably the same one-gram intravenous streptococcus per 12 hours. The family doctor contacted the farmer's doctor and the family was told the prescriptions. The streptococcus was diluted for three days and then prescribed for infusions and pronisolone for 50 in the mornings and half in the evenings. The patient's doctor stated that the location of the sore throat that had been done for the patient yesterday had been diluted and therefore they were terrified and had opened the sore throat. The venom of the wigwoods was not reported. He had no fever. Two days ago, he was taken out of the vet's office and prescribed 400 days of intravenous streptococcus and technical soap and is in use. He was told that there was no sign of danger at the moment and that probably one of the traumas underneath the sore throat had been stopped by them. The picture of the sore throat was sent on WhatsApp. For more scientific and effective action, the picture was sent to the dear surgeon of the sore throat and she was advised by Ms. Aristide and their recommendations were made to the family. (Mrs. Aristide said the family did not cooperate very well with the use of the sore throat and is currently being treated with soap and soap that is prescribed.) The patient's doctor contacted the family. He has a very weak throat. They've been given food, but it doesn't respond well. They are reporting well. The consciousness is explained that if they don't eat, they will be sent to the emergency room. Tomorrow, the nurse will be sent.
|
398,020,145
|
تماس از بيمار. حال عمومي خوب نيست. به سختي و بريده بريده صحبت مي كند.درخواست ويزيت.گزارش ليك سوند ادراري.درخواست تعويض سوند دارند..تماس خود بيمار.صداي نالان و شكايت از درد كه فاروكسي را هم به علت بي حالي شديد ، ادامه نداده اند. اكسيژن مداوم استفاده مي كنند.آموزش پله اول و دوم نردبان مسكن ها انجام شد و به كلينيك درد ارجاع شدند..تماس همسر. درد شكم. احساس خلط. كاهش شديد تغذيه PO. نياز به تجويز اكسي كدون وجود دارد..تماس از خود بيمار.افزايش درد و افزايش ترشح از ضايعات پوستي.مشكل خواب. داروها مجددا چك شد و آموزش داده شد. با زياد شدن ترشحات زخم بدخيم برست ، نياز به ويزيت مجدد خ. رسولي دارند براي پانسمان هاي تسكيني..تماس همسر.شكايت از درد و ترشحات بسيار زياد. آموزش. ارجاع به كلينيك درد.
|
Patient requested a doctor's visit: True,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: True,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: True,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: True,
Pain: True,
Gastrointestinal issues: False,
|
The call from the patient. Generally not good. He's talking hard and fast. Needs oil. Needs urinary fluid injection. Needs replacement fluids. Invites the patient himself. Noise of gonorrhea and diarrhea that aren't taking up pharmaceuticals because of too much of it. They're using oxygen all the time. The first and second steps of the cochlear implants were taught and referred to painkillers. Invites the patient. Diarrhea. Feeling confused. Extreme reduction in PO. Needs to sequester oxytocin. Invites the patient himself. Increased pain and increased secretions of skin damage. Sleep problems. Drugs were re-administered and retrained. Increased bad sore throat secretions, need re-administered oil. Invites the patient to massage. Invites the patient. Increased pain and increased secretions. Training. Refers to painkillers.
|
398,020,158
|
دختر بيمار تماس گرفت.از ديروز بيمار گلو درد دارد.ضعف و بيحالي شديد پيدا كرده بطوريكه حتي نمي تواند بنشيند.اشتها كم است .شب گذشته يك كاسه سوپ خورده .تب low grade دارد.مشكوك به كرونا است.تقاضاي ويزيت دارد چون نمي تواند از منزل بيمار را بيرون ببرد..دختر بيمار تماس گرفت. گزارش N/V ميدهد. تحمل تغذيه PO ندارد. توصيه به وصل سرم و تزريق آمپول دميترون هر 8 ساعت شد..بيمار تهوع دارد دو روز قبل در بيمارستان بررسي شده اند سديم 136 بوده و سرم دريافت كرده است پتاسيم 3/7 بوده است با توجه به وضعيت كليه محدوديت مصرف سديم دارند قرار شد در صورت تداوم پرش دست و تهوع سرم وصل شود فشارخون 13 روي 10/8 بوده است قرار شد يك عدد تي ان جي استفاده كنند و فشارخون را اندازه بگيرند.دختر بيمار تماس گرفت. از پرش دست و پاي بيمار شكايت دارد. علائم حياتي را مطلوب گزارش ميكند. توصيه شد 1/2 كلونازپام 1 ميليگرمي رو به بيمار بدهند..بيمار از گلو درد و سرفه و دل درد شاكي است دل درد بعد از سرفه هاي مكرر بوده است اكسيژن با دستگاه 94 بوده است تب نداشته است فعلا قرار شد ديفن هيدرامين مصرف نمايد
|
Patient requested a doctor's visit: True,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: True,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: True,
Gastrointestinal issues: True,
|
The patient's daughter called. The patient has sore throats today. She's in such a weakness and distress that she can't even walk. Her appetite is low. She ate a bowl of soup last night. She's got low grade fever. She's concerned about cramps. She's asking for vitamins because she can't get out of the patient's house. The patient's doctor called. She's got an N/V report. She has no PO tolerance. She's been prescribed head-to-head injections of DDT every 8 hours. She has diarrhea. She was checked in the hospital two days ago. She's got diarrhea at 136 and she's had a headache. She's got penicillin at 3/7. Given the state of the clinic, she's got diarrhea restrictions. She's been prescribed head-to-head injections if she keeps jumping and she has diarrhea. She's got 13 on 10/8. She's got a number of T.N.G.s and she's got a number of T.N.G.s and she's got a number of T.N.G.s. and she's got diarrhea. She's got vital signs. She's got half a kilo of aspirin. She's suffering from sore throats and coughs and coughs. She's suffering from repeated coughs. She's got oxygen with the 94 machine. She has no fever. She's not going to be taking vitamin D.
|
398,020,161
|
دختر بيمار تماس گرفت. گزارش ديسترس تنفسي ميدهد. RR:35. تب ندارد. BP:9/6. اكسيژن نيز دريافت ميكند. توصيه شد يك آمپول دگزامتازون تزريق كنند و نتيجه را اطلاع دهند. پس از 1 ساعت مجددا تماس گرفتند و گفتند كه حال بيمار بهتر نشده است. جهت اعزام پزشك هماهنگي به عمل آمد.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: True,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
The daughter of the patient called. She said, "" He's breathing. "" RR:35. She has no fever. BP:9/6. She's getting oxygen. "" She was ordered to take a D-xetazone shot and report back. An hour later, they called again and said, "" You're not feeling better. "" A team of physicians called.
|
398,020,191
|
تماس از خواهر بيمار. در بيمارستان اميد بستري بوده براي تزريق خون و همان روز مرخص شده. درد شديد و سوزش دست و پا دارد. بسيار بي حال است. قادر به راه رفتن نيست. ويزيت پزشكي هماهنگ مي شود.
|
Patient requested a doctor's visit: False,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: True,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: True,
Gastrointestinal issues: False,
|
Call from the patient's sister. She's in the hospital hoping to get a blood transfusion, and she's on leave the same day. She has a lot of pain and bruises in her legs. She's very depressed. She can't walk. She's getting medical attention.
|
398,020,194
|
درخواست پرستار جهت تزريق.تماس دختر بيمار . زخم بستر نياز به ويزيت دارد و درخواست نمونه گيري آزمايش جديد
|
Patient requested a doctor's visit: True,
Complaints related to surgical wound site: False,
Drug reactions and side effects: False,
Psychiatric and psychological complaints: False,
Lymphedema: False,
Sleep disorders: False,
Loss of appetite: False,
Seizures: False,
Weakness and fatigue: False,
Decreased level of consciousness: False,
Fever: False,
Respiratory complaints: False,
Insurance/treatment cost issues: False,
Urinary tract issues: False,
Pain: False,
Gastrointestinal issues: False,
|
The nurse asks for an injection. The patient's daughter asks for an injection.
|
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