{ "text": "[PERSON_NAME] [PERSON_NAME]. Date of birth, [DATE_OF_BIRTH] [DATE_OF_BIRTH], [DATE_OF_BIRTH]. Follow up for [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS], [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_PROCESS] [MEDICAL_PROCESS] and [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION] of unknown primary. Her last visit with [OCCUPATION] was [DATE], [DATE], when she had a [MEDICAL_PROCESS] of an at least [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION], which was treated with [MEDICAL_PROCESS] [DURATION] [DURATION] ago. Are you guys okay if [PERSON_NAME] joins us? She's a [OCCUPATION] [OCCUPATION]. She's the boss. Thank you. She won't do anything mean, I promise. I'll hold you to that. Please do. Please do. I'll wait till [PERSON_NAME] finished up and then we'll. [PERSON_NAME]. [PERSON_NAME]. Yeah? I still need your blessing to remove those. Yeah, we got a. Wow. Those stuck really well. Yeah. Sore just when you're pulling. Actually, that bothered me more than they did. Really? You promised you weren't going to hurt. Are they dissolvable? I think so. I thought she said. Yeah, I think they're dissolvable. We'll just leave them. I'm gonna leave the rest of the stereo strips on there. Okay, I'll look and see. It looks like it might have been gut or micro repeat, so I can put them more. Sure, we can do that. Good. And then main goal today, I think, is just to check back in and do another [MEDICAL_PROCESS] [MEDICAL_PROCESS]. Is that correct? I believe so. I. Okay. I wasn't sure when they made the appointment, you know, [DURATION] ago. It was. Yeah. And I was in the middle of everything and we were just like completely overwhelmed with everything. Yes. Okay, fine. Whatever you need to do. Whatever you need to do. At this point, we don't care. Understood. Yeah, understood. So, and tell me, I know I think relatively unrelated to what we're doing here, but what. What's the current status with the. The [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION]? The [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION] that you're seeing [PERSON_NAME]. [PERSON_NAME] for. Is that right? Well, [PERSON_NAME]. [PERSON_NAME] is going to do [MEDICAL_PROCESS]. Perfect. Okay. And what. [PERSON_NAME]. [PERSON_NAME] [PERSON_NAME] will be the. He's the contact. Okay. So no medications for that right now. They're gonna do [MEDICAL_PROCESS]. Excellent. Okay. I just wanted to check in and see where we were at with that, so. Yeah. Good. Yeah. I'm not. We don't always see people back this soon, but I think just given what was going on with the [MEDICAL_CONDITION] [MEDICAL_PROCESS] [MEDICAL_PROCESS], I think that's why [PERSON_NAME]. [PERSON_NAME] wanted you to check back a bit sooner. We may not need to keep seeing you every [DURATION] [DURATION], but I Think she just wanted to make sure that everything was okay. Okay. So something. When they did a [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] and they said they saw something [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION] shoulder. And I know I could feel something there, but it would have been just [DURATION] [DURATION] [DURATION] ago, I think [DURATION] [DURATION] ago Monday. [DURATION] [DURATION] ago Monday. Yeah. I ended up back in the hospital. Long. Oh, we've been. It's. It's been about [DURATION] [DURATION]. I said this. This year started, and I'm ready for it to be over. Yeah. I think it's time. Huh. Why don't I see that one? Been during her impatience. Her emergency screen. It might be attached to the [ORGANIZATION] [ORGANIZATION]. Okay. Here we go. Just based on. See if it's in there. Oh, 218. Okay. That's it. Bingo. Oh, how funny. Why is it not in our. That's weird. Okay. Huh. For some reason, it doesn't actually show up in our. The. The spot where [MEDICAL_PROCESS] [MEDICAL_PROCESS] results are supposed to show up. We have work up [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS]. Oh. [MEDICAL_CONDITION] [MEDICAL_CONDITION] of [MEDICAL_CONDITION] [MEDICAL_CONDITION] humeral head. Huh. I don't see anything about a. Didn't they say they sent it to. Sent something to [PERSON_NAME]. [PERSON_NAME] [PERSON_NAME] and he didn't. They sent a message to [PERSON_NAME]. [PERSON_NAME] [PERSON_NAME]. Okay. And then he said it was nothing to. Okay. He told me that at this point there was nothing to do right now while she's inpatient. Fair. Okay. I think that. I think she just want to make sure that if this is something else, we need to. Okay. At some point, figure out. Sounds good. We'll take a look. Yeah. And then you start [MEDICAL_PROCESS]. I don't know yet. Not yet. Okay. She's got the simulation in the [DATE]. Perfect. Okay. Well, is there anything on your skin that you're worried about today? Well, I. I obviously want you to look good at that end. There's a couple of spots on my back. Okay. And then there's. I. I don't think it's. It's [MEDICAL_CONDITION]. I mean. Well, I didn't think anything. You're fine. I should have. Is it. Oh, it looks so lovely. Looks fantastic. What did you notice about the spots [MEDICAL_CONDITION] [MEDICAL_CONDITION] back? You can just feel them or do they have symptoms? No, I just feel them. Okay. Sounds good. We'll take a good look. Yeah. And [MEDICAL_CONDITION] [MEDICAL_CONDITION]. On my right leg. My left leg right in here. It's itchy all the time, and it feels like it's kind of, like, rough. Okay. Have you tried to treat that with anything? Cream or lotion? Okay. We'll take a look. That's usually something we can help with. She's taking care of what [MEDICAL_CONDITION] [MEDICAL_CONDITION] [DRUG] and the. Yeah. Health book and whatever the. I work in it. I'm not medical. You. You made it really far. You got to [ORGANIZATION]. I'm so impressed. Oh, I love it. That's so funny. Okay, I'm gonna start taking a peek at you while she finishes up. Okay. Slip off this mask here. Look at scalp first. Oh, sorry, [PERSON_NAME]. No, no problem, no problem. Few little [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION] face today, but nothing major. I think [PERSON_NAME]. [PERSON_NAME] froze [DURATION] [DURATION] of those last time too. The ones you have left are really quite thin. So not. We could [MEDICAL_PROCESS] [DURATION] [DURATION] more, but honestly, again, given everything else going on, nothing that needs to be addressed urgently. We could also just watch them. Okay. This is our little [MEDICAL_PROCESS] donor site which looked great. And she can take it off. Tip forward a little bit for me. Okay, Good. Okay, so [DURATION] [DURATION] [DURATION] [DURATION]. You can take [MEDICAL_PROCESS] [MEDICAL_PROCESS]. Be a gentle one. Be gentle. Yeah. Okay. I have to say it over. Over to myself so that I know what in future. I think it's a regular bandages for fine. Okay. Yeah, just the regular bandages because the [INJURY] is not to be like this big. Okay. So regular bandage can cover it. Okay. Just nothing on your back looks worrisome. Just some normal. Normal skin growths. Okay, so good. And a plugged pore. So nothing back there. Just [DURATION] [DURATION] normal [MEDICAL_CONDITION]. Let's take a look at your arm actually. Let's slip this out if that's okay. Always best. Okay. It's been more than [DURATION] [DURATION], so take care. Thank you, [PERSON_NAME]. Thank you. Yeah, you're welcome. Yeah, I don't see anything up here I'm worried about. Okay. I think it was back. That one is a [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION] arm or [MEDICAL_CONDITION] [MEDICAL_CONDITION] shoulder there. So that's not worrisome. It wasn't like too right? Yep, Right next to them. Yep, same thing. So those are not worrisome at all. Oh, but let's take a look at this. I can [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] for you if you want. Yes, if you would. Those things drive me crazy. Yeah, she had a hard time getting the. Oh, really? Yeah. Yeah, it's looking fine. Do you mind tossing that in the trash for me? Good. Great. Nothing in armpit. All right, I will trade you arms. You get [MEDICAL_CONDITION] [MEDICAL_CONDITION] one back. Excuse me. Of course. Losing my voice like this right here. It feels like rough. Is that just rough skin? It is. It's just dry skin. Okay. Don't see anything there that looks like a [MEDICAL_PROCESS] [MEDICAL_PROCESS]. Okay. Okay. Okay. Do you want me to look under your sleeve? Is there anything there? I'm not. I don't think this is where they took the. The [DURATION] [DURATION] notes. That's where it was. I'll just sort of peek under. I think I can look most of the way under without causing too much trouble. Great. Yeah, she's got a thing there for so it doesn't roll. Yeah, brilliant. That wasn't there this morning. No, she had her [MEDICAL_PROCESS] and I was sitting out in the waiting room working. I love it. I don't see anything under there at all. That looks worrisome. So let's see if I can get this back on here. All the way up there. All right, good. Can I look at chest and belly? Sure. Okay, good. Do you mind if I look under your breast? No. Okay. Just going to lift up. Just some se. [MEDICAL_CONDITION]. Same [MEDICAL_CONDITION] [MEDICAL_CONDITION] other side. There's that one on this side underneath. Mm. The one right below the nipple. Yeah. Just another big [MEDICAL_CONDITION] that's been there for I don't know how long. Yeah. They always put us. They are so funny. Some people grow hundreds of those and they put little stickers on every single one of them. Still a bit irritated down there. Yeah. I have cream at home. Does it help when you use it? Yeah. Okay, good. So far? So good. So far I don't see anything I'm worried about. Little pink scaly spots on your left shin that I think are more along the pre [MEDICAL_CONDITION] line. Like what we've [MEDICAL_PROCESS] before. We can either [MEDICAL_PROCESS] a couple or we can just keep an eye on them. I don't think they're anything again, urgent. Good. And then this is the leg with that. Yes. Let me do this while you still have socks. Let me have you stand so I can look at the back of your legs. Okay. What do you want to hang on to? Right there? Yeah. Perfect. And then that way, once you sit back down, we can slip socks off. So. Great. Can I look at your bottom shirt or hair? You can hide things anywhere. Good. All right. I know. A little bit further back here. Great. All right, let's slip socks off and we'll take a look at both feet here. Yeah. I don't have my sock aid with me. We can help. Sock aids? Yeah. You've got two of them actually. This one? Yeah. It's that hole right all around there. Yeah. Look under here. Okay. Let me peek at the side. Okay. I'm a little torn about whether it's more of these little [MEDICAL_CONDITION] [MEDICAL_CONDITION] or whether it's more of a little bit of [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION], which we get when we swell a little bit. Okay. So if you want the easiest way to address that would be a [DRUG] [DRUG] that has a little bit of a [DRUG] [DRUG] [DRUG] in it. Okay. Do you have anything like that at home? Have you been. The only thing I have is that it begins with an [DRUG]. It's in my medication, the [DRUG]. Okay. Not that one. Yeah. We could do one called [DRUG], which is sort of like a strong [DRUG] that you can put on [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] to help with the itching, and it should help smooth out the skin. Okay. Yeah, the itching is. Yes, we can address that. So otherwise, let me do that before I forget, and then we'll finish talking. I'll give you not too big of a tube because I don't think you'll need very much of it. Okay. And usually within [DURATION] [DURATION] [DURATION] [DURATION], things are quite a bit improved. You use [ORGANIZATION] in [LOCATION]. Okay. So honestly, skin looks great. I am still going to feel lymph nodes because I haven't done that yet. I don't see anything that I think needs to be [MEDICAL_PROCESS] or [MEDICAL_PROCESS] [MEDICAL_PROCESS]. All I see today are [DURATION] [DURATION] little pre [MEDICAL_CONDITION] spots that I think we should either keep an eye on, then you'll see [PERSON_NAME]. [PERSON_NAME] back in [DURATION] [DURATION] [DURATION]. Or we can [MEDICAL_PROCESS] [MEDICAL_PROCESS] today. I know you've had a long day, and I. I'm. I honestly would be fine either way. I don't think any of these are very high risk, so if you tell me, no, thanks, I don't want to [MEDICAL_PROCESS] [MEDICAL_PROCESS] today, I will. That will not bother me at all. Otherwise, just [MEDICAL_PROCESS] [MEDICAL_PROCESS] while we're here. Okay, so we'll probably do one on left cheek. I think there's one [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION] cheek. Oh, perfect. She's gonna go grab it for me. And then two [MEDICAL_CONDITION] [MEDICAL_CONDITION] left shin. That will [MEDICAL_PROCESS] while you're here. Is that anything there? Oh, teeny tiny. We can give that one a tiny little zap [MEDICAL_CONDITION] [MEDICAL_CONDITION] left side of the nose. I think it. With the glasses, they. It. It can make it worse. Yeah. You never know. If it's an irritation. Yes. Understood. And then I think probably somewhere in the realm of [DURATION] [DURATION] [DURATION] [DURATION] to come back. And that'll either be with me, depending on if [PERSON_NAME]. [PERSON_NAME] still out, or [PERSON_NAME]. [PERSON_NAME] if she's back, so. And we'll keep an eye on how everything else is going. [DURATION] [DURATION] with [PERSON_NAME]. [PERSON_NAME]. Boy or a girl. I just comically talk to the person before you and cannot remember whether she actually had her baby yet because I don't think. I don't know if we've gotten an email, but I think she was due already to say she was. Oh, I know. She looked in [DATE_INTERVAL]. She'll have to report back when you see her next. Sorry, sorry. I know. Tiny, tiny little one [MEDICAL_CONDITION] [MEDICAL_CONDITION] nose here. Keep those eyes closed. Good. I'm going to do them all a second time. Okay. Two [MEDICAL_CONDITION] [MEDICAL_CONDITION] leg, and we'll come get them one more time. Okay. Where they did the most [MEDICAL_PROCESS]. Looks all right here. It looks amazing. Usually [PHYSICAL_ATTRIBUTE] [MEDICAL_CONDITION] [MEDICAL_CONDITION] legs stay really, really purple. That one is faded really nicely. That one wasn't done here. Good. It was done pro velvet. Well, they did a great job. You forgot to tell her to, you know, come back in [DURATION] [DURATION]. That's all right. No, he is not the one. He just did the [MEDICAL_PROCESS]. Okay. Oh, no, [PERSON_NAME]. [PERSON_NAME] was the [OCCUPATION]. He's. Oh, yeah, [PERSON_NAME]. [PERSON_NAME] great. We. Speaking of babies, both of our [MEDICAL_PROCESS] [OCCUPATION] were once out at the same time with babies, so he did a lot of our. We sent a lot of people his way during that time. I know, of course. Well, you are welcome to get dressed and head out. I sent in the ointment, and then, like I say, about [DURATION] [DURATION] [DURATION] [DURATION], unless you need us sooner. Okay. Okay. Just keep. Oh, you know what I was looking at. Thank you. I was just about to walk over there, and I have a question. Of course. Go ahead. What she's going through with all these spots and [MEDICAL_CONDITION] and whatnot. Is that something that is hereditary? Is that something that we, as her daughters and son, need to watch out for? That is a really good question. Let me feel in armpits and then I'll answer it. This is. This one just had [MEDICAL_PROCESS] in [DATE_INTERVAL]. Okay. Just so you know, Is it pretty sore? Well, I don't know. Nobody has really poked at it. I've just been afraid to let anybody touch it. I'm like, that's my left arm. Don't touch it. Let me just be real gentle here. Funny. She went into [MEDICAL_PROCESS] after her last hospital stay. Yeah. And she had them put on her whiteboard. No blood pressures in left arm. I mean, that's a good idea. Oh, absolutely. It was just kind of. So some [MEDICAL_CONDITION] [MEDICAL_CONDITION] can run in families. [MEDICAL_CONDITION] [MEDICAL_CONDITION] Is not really one of them, except in the following way. Getting [MEDICAL_CONDITION] [MEDICAL_CONDITION] usually happens because you have light skin, light eyes, and spent a lot of time in the sun. Those skin characteristics are hereditary. So I'd say you might be at higher risk. More so just because of the skin. Skin color that you've inherited. Not so much that the [MEDICAL_CONDITION] itself runs in families. Does that make sense? Yes, it does. Okay, so that's answer to that question. Okay. All right, you guys, you get dressed. She's already dressed. And then call if you need anything before you come back. Okay. Good luck with [MEDICAL_PROCESS], though. Thank you. Yeah, you're welcome. Bye. You too. Patient's trying to leave. Let's go. I thought you were giving me the cry. I was like, no history of [MEDICAL_CONDITION] seen by [PERSON_NAME]. [PERSON_NAME]. Yes, we're here. And then skeliad she spots on legs. I'm coming. I'm coming. I promise. I'm sorry. I just had a situation that took a lot more time than I. I totally understand. I totally understand that. I just. I have to pick somebody. Oh, no. Well, let me take a look. I heard the main issue. I heard is these legs, right? Oh, she gets them every winter. Yeah. They go away in the sun. They go away in the sun with the spirit. Springtime. And have you had [DRUG] [DRUG] for him before? Yes. Okay. [PERSON_NAME]. [PERSON_NAME] just gave me something. [DRUG] [DRUG] [DRUG]. Did you start it already? I did, but she told me to kind of hold off. Okay. To let us see. They confused me a little bit because they're like. No, you're right. They do look partially treated. Nothing ever on elbows or knees? No, just a little there. I do think it probably is more [MEDICAL_CONDITION] then. I was trying to decide if it could be some [MEDICAL_CONDITION], but. And then do you get some swelling in the legs? Yes, I do. Do you ever wear compression stockings? Yes, I do. Did we have this conversation? Let me look at your face real quick. And I used to wear them all the time because I worked in a hospital, so. So you know that little sp. Yeah, I got that too. Little pimple. Yeah. Yeah. I just scratch up my head sometimes. Yeah. But. Yeah. Previously on. A Cream for this with [PERSON_NAME]. [PERSON_NAME], too. Yeah. Yeah. Ah, the other [PERSON_NAME]. I love it. Oh, yes. Yes. I've never actually met her in person, but. Good. Do you get much in the way of [MEDICAL_CONDITION] or. Not really. Okay. No, just redness. That's harder. So. Well, honestly, I actually agree. I Think the cream she gave you is fine for legs. Okay. If it didn't cut it, the next step would be for us to switch to a little bit greasier version, which we can. I know. See? And that's totally fine. If it. If the creams work, I'm fine with it. The [DRUG] tend to be a little more potent. Yeah. But if it's greasy enough that you aren't going to use it, then it's not worth it, so. Okay. No, I wouldn't use it. Yeah. Do you want anything for the scalp bumps that you get, or do you. Do those not bother you? Those don't bother me much. Sounds good. And then did you guys talk about redness for [MEDICAL_CONDITION] already? Not in as much detail as the. So the. Do you feel like the cream [PERSON_NAME]. [PERSON_NAME] prescribed you for face helped? It did. Ooh. Yeah. When I used it. Yeah. Do you remember what it was? I do not. Okay. It was two separate creams that you used at the same time. Okay. Probably what we do then is if you want to restart something, we'll restart with some of the most common ones, because that's probably what she did. [DRUG] [DRUG] is usually one of them. I'd be fine starting just with that. And then you can let us know how it goes. We can always add a second one if you need, but you may not. My big caveat is that for only redness, creams actually tend not to be quite as effective. [MEDICAL_PROCESS] is the most effective, not covered by insurance. So if you ever want to talk about that, let us know. I don't do it personally. We have some colleagues at [ORGANIZATION] who do. My understanding is it's somewhere in the realm of about [MONEY_AMOUNT] [MONEY_AMOUNT] for three treatments. Usually you need at least three, but I think it's very reasonable to start with the cream and see where we get. My question is, do you want to see us back in [DURATION] [DURATION] [DURATION] knowing that the legs usually get better over the summer, or would you rather check in maybe in the fall? I'll check in in the fall. I think that's a good idea. And that way we can adjust things if things if. If they start to flare out. Right. And because last time I made my appointment, it was so far out that by. Yeah, by the time I schedule it. On your way out today, if you have [DATE_INTERVAL]. I know. Well, I apologize. We had to keep things brief. Is there anything else that I can do for you today? So. Okay. That's fun. I appreciate your patience. And get to your friends. So, yeah, really nice to meet you. Big sigh. Okay, I said big sigh. I was just. All right, I apologize. I did not stop that before I walked into another room. So you can just disregard the section that we just talked about and finish up sort of when I left the room originally. 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