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  "text": "Next patient is [PERSON_NAME] [PERSON_NAME]. Date of birth is [DATE_OF_BIRTH] [DATE_OF_BIRTH], [DATE_OF_BIRTH]. It's here. So tell me what has been going on? Well, I see that I. I had tubes in my ears when I was a baby, and then ever since, I kind of have sensitive ears to begin with, but lately it's been super, like, full feeling. And the only way I can, like, get some relief is sometimes the [OCCUPATION] will, like, [INJURY] [INJURY] [INJURY]. And it feels like it opens it up so it can drain. And, like, I know we're not supposed to use Q tips, but even when I do use a Q tip, it doesn't seem like I have fluid in there. It's weird. And then, like, I have a lot of pain, like, in here, but I'm not sure if that's because of my jaw or [INJURY] [INJURY]. Okay. And there's, like, a lot of. If anything, I thought my ears were more dry, except for down further where, like, you can't get to because I have, like, flaky skin or build up that I get out quite often. But other than that, like, my ears are really sensitive to the wind. Okay. I get ear aches more if the wind gets in my ears. How about, like, on noise? Like, I mean, noise is annoying to everybody, but does noise ever really bother the ears where you're like, oh, no, nothing like that. Okay. No. Sometimes I'll get a little bit of ringing, but then it'll go away. And then sometimes randomly, like, I'll feel it, like, kind of if you're, like, descending on an airplane and it, like, pops and you feel that? Sometimes randomly, I'll get that, and all of a sudden I can hear better. But I didn't even notice. I couldn hear as good before. Yeah. And, like, I don't even know how to describe it. If I, like, clench my ears sometimes. Like, I don't know how to describe how I can do that, but it feels like I can hear stuff in there, like, crackling. Do you ever get a feeling of, like. Like, warm fluid flowing through the ear or dripping or anything? Not literally, but, like, a feeling. Feeling of it? Yeah, sometimes. Like, if I can, like. Oh, if the [OCCUPATION] will crack it, it kind of feels like it releases, but otherwise nothing. Unless I do that. Okay. How about problems with your ears on airplanes? History of, like. I mean, everybody gets pressure and popping. Yeah, but do you have any, like, particular problem with that? No. Okay. [MEDICAL_CONDITION] [MEDICAL_CONDITION] at all that you know of? No. Okay. And how about, like, [MEDICAL_CONDITION] [MEDICAL_CONDITION] as an adult, at least? Not No, I don't think I've ever been treated for that. Okay. And does the hearing feel down necessarily, or is it. I feel like it could be better, but sometimes I don't notice that until, like, my ears pop. Or if, like, I can feel really a lot of fluid in there and then I relieve it, then it's. Sometimes I can feel it, but I don't know if it's just because I'm used to that, but I feel like I definitely could have better hearing. Okay. And then have you tried any, like, treatments for this at all? No. In terms of, like, medications, sprays, congestants? No. I have taken, like, [DRUG] [DRUG] before, but that was not for my ears. And then I've put, like, solution in [INJURY] [INJURY] or tried, like, the home remedies or whatever it is, like olive oil, or I forget what else I read to do, and then just let it kind of, like, sit in there and then take it out. Okay. And anything else that you wanted to mention at all? Otherwise? No. Good. All right, we'll get a good look here. Let me just pause this thing. Oops. Excuse me. Okay, next paragraph. [MEDICAL_PROCESS] [MEDICAL_PROCESS]. Every blank is normal. Next paragraph. Assessment. Oral fullness. That's a U, R, a L fullness. Chronic. Common. Chronic. Spacebar, Hyphen. Spacebar. Bilateral. Next line is [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION]. Hyphen, bilateral. Next line is [INJURY] [INJURY] [INJURY] [INJURY] [INJURY] [INJURY] [INJURY] [INJURY] [INJURY]. Hyphen, Bilateral. Next number. Next is [INJURY] [INJURY] [MEDICAL_CONDITION]. Spacebar. Hyphen, spacebar. Under formal treatment. Next line. The patient reports a history of symptoms which sound both like [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION] as well as potential [INJURY] [INJURY] [INJURY] [INJURY] [INJURY] [INJURY] [INJURY] [INJURY] [INJURY], period. She does have a significant history of TMJ and clenching and, in fact, is getting [MEDICAL_PROCESS] soon, period. On [MEDICAL_PROCESS] [MEDICAL_PROCESS], the tympanic membranes are normal and the middle ear spaces are aerated, period. My differential diagnosis is [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION] and [INJURY] [INJURY], period. She has not been on any medications, period. Next paragraph. Plan. Number one. I discuss my assessment as above with the patient. Period. Number two. [DRUG]. [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS]. Bid [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS], comma, one refill, period. I ask the patient to allow at least [DURATION] [DURATION] [DURATION] [DURATION] to see if this would be of benefit, period. If not, comma, a very, very. She does have a [OCCUPATION] [OCCUPATION] already, comma, but she could also follow up with one of our [OCCUPATION] comma, such as [PERSON_NAME]. [PERSON_NAME] [PERSON_NAME], comma, who often takes care of problems like this period Number Next is return to clinic based on above end of patient Thanks.",
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}