{ "text": "[PERSON_NAME] [PERSON_NAME]. Date of birth, [DATE_OF_BIRTH] [DATE_OF_BIRTH], [DATE_OF_BIRTH]. She has a follow up for [MEDICAL_PROCESS] [MEDICAL_PROCESS]. Last seen [DATE], [DATE], [DATE], when she was continued on [DRUG], [DRUG], [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS], and [DRUG] [DRUG] for. For [MEDICAL_CONDITION]. Continued on [DRUG] shampoo for what was presumed to be partially treated to new Versacolor. She's also been dealing with worsening [MEDICAL_CONDITION]. Hello, [PERSON_NAME]. Are you ready? Yep. Hi. Hi. Did she ask you about my little virtual [OCCUPATION] thing? Okay, perfect. She just didn't make a little. Yes, so I wanted to make sure. Sounds smart. Cool. Oh, my gosh. Saves me, like, [DURATION] out of my life every [DURATION]. Well, tell me. I heard a little bit about what's going on. So tell me where we're at. Well, no, like, strange marks or anything as far as, like, the [MEDICAL_PROCESS] [MEDICAL_PROCESS]. Perfect. Just really like, changes in the breaking out, you know, which I went from like a [MEDICAL_PROCESS] [MEDICAL_PROCESS] of the [DRUG] to nothing and had [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] all at the same time. So I feel like my skin went into, like, this. Really? How. When did all this happen? Like, when did you [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] and when did you stop the [DRUG]? It all was about [DURATION] [DURATION] ago. Okay, sounds good. What are you still using then? Anything, like, topical stuff? I use the [DRUG]. Perfect. Perfect. Acid, which I feel like that's really helpful. Okay. I still have been using the [DRUG] [DRUG] like once a [DURATION]. Just like a real light application. Sounds good. And? And that's it. Okay. And you are actively trying to conceive? Yeah. Okay, perfect. Yeah. Do you have kids? I can't remember. I do. I have three kids already, so families. No. That's great. That's amazing. Awesome. Okay, weird question, but did you conceive pretty easily for your first three? Like, is it something where it took a while or not typically it was easy. Okay, that's helpful at least in knowing how long we might have to power through with some [MEDICAL_CONDITION] safe kind of stuff, but okay. Any big changes in your health otherwise since then? No. Let's take a look. We'll just start at the top and work our way down. Yeah. Hair first, so tip form for me. Well, how's life with three kiddos during the [EVENT]? Yeah, it's been going good. Good. It's nice that they can be back in. Oh, my God. I'm sure. I can't imagine how. I mean, it was hard on everybody, but it's hard I think in different ways. And just. Yeah, kids. Yeah. I had a weird. Like, every now and then I get like, almost like a zit on my ear. That's what I'm looking at. Yeah. It's way on the back. I know. It's really irritating. How it looks today is irritated. I know. Just like almost a little, like, bloody crust. I don't see much left there. Okay. Don't have a good answer for that. And I don't wear earrings very often, but I feel like usually it's associated with that. Okay. I wear earrings and suddenly. Yeah. And I wonder, looking at it up close, it almost looks like there might be an underlying little. Just benign growth. So I wonder if it's the earrings sort of. Or the earring backs are irritating. That. Okay. Call it a little separate [MEDICAL_CONDITION], but. And yeah, so now I'm breaking out of my back, you know. That's new. Yeah. Just a couple normal moles there. You do, though, have. I'm just gonna kind of estimate count. Probably at least 10 to 20. Little inflammatory papulus in the upper back. Okay. And I tried using, like, the [DRUG] wash on my back, but I feel like that did nothing. No change. Oh, no. It's one of the stronger over the counter [MEDICAL_CONDITION] lashes, so that's okay. Okay, good. So far, just [DURATION] [DURATION] normal moles. Nothing I see that I'm worried about at all. That's a good [INJURY]. I work as a [OCCUPATION] [OCCUPATION] [OCCUPATION], so sometimes they get a little wild. Same with my hands. [INJURY] [INJURY] and [INJURY]. Yeah, I always have some kind of mark from them. Jeez. Good. Just those same couple, like, tiny little dark ones on the left abdomen. They still look okay. Okay, I'm gonna look. I think we have photos of those, don't we? Of the abdomen? I'm not sure. Last time I was having those weird white spots on my back, so. I know we took a lot of pictures of this. Oh, yeah. We didn't. Okay, that's fine. And you couldn't figure out what it was? No, you're correct. And I was using a wash for a long time and then it just went away. I don't really see any trace of it, so. No, I don't either. You're right. I actually totally forgot about it between the time I was out there and walked in here because it's gone. Well, so that's promising. Yep. I also don't have an exact answer for what that is yet. Yeah, it was really strange. And, you know, I was religiously using the wash yeah. It wasn't doing a whole bunch. No. Sometimes things just fix themselves. Yeah. Good. Stand up for me so I can be back with legs. Good. Nothing. You can sit again. Do you want me to look at feet at all? Nothing on my feet. Nothing that you've noticed. Okay. Go ahead and slip off mask then. Let's see what we got going on on face. Okay. So it's just been like feeling ones on the floor, like deep. Oh, it was awful. Yeah. Because I do see some brown, like hills just at sites of prior [INJURY] on the chin. Not a lot super active today, but I can tell it's been active really recently. Yeah. And I think it was really bad right away. Yeah. And now it's kind of calmed down, so. Well, good. So [MEDICAL_PROCESS] [MEDICAL_PROCESS] wise, things look great. I don't see anything. I'm worried about [MEDICAL_CONDITION]. [MEDICAL_CONDITION] is hard when we are trying to get [MEDICAL_CONDITION] or actively [MEDICAL_CONDITION] because a lot of the treatments we typically use are not considered safe in [MEDICAL_CONDITION]. So things that we can do are [DRUG] [DRUG] for sure. That one's considered completely safe to get. One I feel like has been making a difference. Good. The [DRUG] is a bit controversial. If you were to, like eat [MEDICAL_PROCESS] [MEDICAL_PROCESS] of it, it can cause [MEDICAL_CONDITION] [MEDICAL_CONDITION]. But it is one where someone has done some studies to say, hey, if I put this on my face every night, do I get enough in my body to get in my blood? And the answer is probably not. That being said, I will leave it at it is a very personal decision. I'd say the vast majority of women choose to stop, and some people will continue with sort of [MEDICAL_PROCESS], [MEDICAL_PROCESS] [MEDICAL_PROCESS]. It's one of those where the risk is probably more theoretical than real. But, you know, when it comes to [MEDICAL_CONDITION], I think theoretical risks feel real. Yeah, no, that's something that I will stop altogether. Beyond that, then things that we could add. I don't think any of these are gonna be total miracle cures, but if the [DRUG] didn't work, you could try a wash with something called [DRUG] [DRUG]. Usually it's not quite as strong as [DRUG], but sometimes we respond better to one ingredient than the other. So I think that'd be worth a try. Okay. There's a [DRUG] [DRUG] called [DRUG] that's considered safe to use in [MEDICAL_CONDITION]. So it's something that you could have to put on. I feel like I have it at some point. I bet you have at some point. And it may not have done great, but if it's something where it just. We need every little bit we can get during this time. I think it's worth having some people use it just as a spot treatment. But it is fine to use on the whole face if we need something a bit more preventative so that we can easily add. Honestly, beyond that, we're looking at like [DRUG] [DRUG] [DRUG]. And that is something where I tend to reserve those for really severe cases because there are many [DRUG] that are again, kind of canceled, considered safe in [MEDICAL_CONDITION]. But it's really sort of a hard situation to be in. You know, you don't want to be on a long term [DRUG] [DRUG] if you don't have to be. Right. And I'm kind of curious to see how this plays out now because. Yeah, I think I. I was put on the [DRUG] action because of the iud. Correct. It was making me break out and then. Yes. So maybe now if I just take it all away, maybe it'll change the sentence. Totally agree with you. That may be the case. This may just be your body kind of resetting itself for after, you know, [DURATION], [DURATION] [DURATION]. Things might settle out and be fine. That is absolutely true. Yeah. I'm hoping. And then sometimes during [MEDICAL_CONDITION], [MEDICAL_CONDITION] gets better, sometimes it gets worse. It's just a weird kind of roll of the dice. Yeah. Well, why don't we try that then? We'll continue the [DRUG] [DRUG]. Just add some [DRUG] that you can have just to use as well. I'll write down the ingredient to look for in a wash. So start [DRUG] [DRUG] [DRUG]. There aren't any prescription washes. No, no. I mean there's one with a little bit of [DRUG] in. I use it more for [MEDICAL_CONDITION]. I'm just thinking about. I. I have no idea. I've never thought about using it in [MEDICAL_CONDITION] before, so I'd actually have to look up whether you can or not. It's not necessarily that it's more effective, it just works differently. So instead of being an [DRUG], [DRUG] has a little bit of an [DRUG] [DRUG] property. It's kind of smelly, but it can be helpful. So I mean, I try the [DRUG] [DRUG] first, but if that doesn't cut it and you want to try something like that, let me know I can look into it. I just genuinely don't know whether it's typically used during [MEDICAL_CONDITION] or not because it's just not something I just haven't thought of before. Start. Because a lot of times with the [MEDICAL_CONDITION] [MEDICAL_CONDITION], it gets so inflamed and just, like, painful. Yes. You know, and that's usually why we, you know, in. In other times of life, then we're looking more for [DRUG] [DRUG] because a lot of topical stuff just doesn't get quite deep enough. But I probably wouldn't at this point. As long as you feel like it's tolerable. Yeah. So if it gets really out of control, we can easily do some [DRUG]. Even for short courses. We don't use the ones we typically use in [MEDICAL_CONDITION], like [DRUG]. Those are not safe during [MEDICAL_CONDITION]. But things like [DRUG] or [DRUG], which are kind of often used for other things, I will use in cases where things are just really severe. So. So we'll just have that in our back pocket. So. All right, well, then tell me, do you want. Oh, what did I just do? Do you just want to plan on checking in in [DURATION] [DURATION], or do you want to check in in [DURATION] [DURATION] [DURATION] to check on how [MEDICAL_CONDITION] is doing, see if we need to make any changes? We can do the year. Okay. Yeah. My chart, me. If something comes up and we can. Yeah, that's really helpful to have that. Yeah. Communication option. Yeah. Perfect. Do you need refills on anything? Then I'm sending in the [DRUG], but are you okay on the [DRUG] [DRUG], or do you need more? Yep, I just picked up a new one, so. Perfect. Do this. [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION]. Okay, well, I'll send in the [DRUG] to [ORGANIZATION] and [ORGANIZATION]. Yeah. Okay. All right, well, best of luck with everything. Let me know if you need anything. Hopefully, like you said, it's just a weird IUD thing and. Yeah. Sound good? It does. Good. You can get dressed. Do you want a printed copy of your checkout paperwork? Okay. In that case, you can get dressed and head straight out. I think you're to your left, but look for the picture of the tree. Okay. Follow the tree. Bye. Nope, you're to your right. 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