{ "text": "This patient is [PERSON_NAME] [PERSON_NAME]. Date of birth is [DATE_OF_BIRTH] [DATE_OF_BIRTH], [DATE_OF_BIRTH]. Cool. So how have you been? I've been okay. I have been noticing I've had [MEDICAL_CONDITION] [MEDICAL_CONDITION]. Like, I mean, I've noticed I've had them since I was a [PERSON_AGE] and maybe even earlier, but I always kind of thought they were just really weird. And I'd get one like every month or two, a big one here and there, like the size of a pe. Every once in a while, like maybe a small pea. But still, but still significant to the point where I could squish it and it would stink and it's gross and like, and. And where it would, you know, I'd feel them and I would. It would be so bothersome that I would like, you know, like, try and like suck it out of my tonsils. Yeah. And get them out. And lately the last. I probably say the last [DURATION] [DURATION] [DURATION] [DURATION], I've been getting them like every two weeks, like to the point where they are bothersome and I'm able to get them out. They haven't been big because I think I'm getting them out before they are too big. But, you know, probably the size of like, I like nerds candies. Yeah. Like, significant that, that they're bothering me. And I like bought a tonsil stone removal kit on the Internet, which is just basically like a little lighted thing to poke at it. Yeah. Which it helps. But they're so irritating. And I just thought it's time to just talk to you about it and just see. I know, you know, my [OCCUPATION] was like, [MEDICAL_PROCESS] [MEDICAL_PROCESS], you know, as [DURATION] adult, is one of the most painful things you can go through. And so I, I get that that's probably not going to be what we want to do, but I thought I would come and talk to you anyway. Yeah, definitely. And then my [MARITAL_STATUS] noticed some pretty bad [MEDICAL_CONDITION] recently. Oh, just recently though? Yeah, over. Over [EVENT], I think, either [EVENT] or [EVENT]. And we've been together, you know, [DURATION] [DURATION], so it's, it's weird. And he was like, it smells like. Well, in his words, it smelled like a dead rabbit. Which is a lie. But I was like, seriously, our [PERSON_AGE] year old is in the back seat. Like, do you think that maybe she's gonna listen to that? But my dad has, has some [MEDICAL_CONDITION] too. And so I don't know if it's like. And his is a little bit more mothball smelly. This is such a weird thing to talk about. No. And it's my job it's your job. Right. So. And I've noticed that, like, if I don't floss my teeth enough, like, I get that too, but this, I think, was different. But I also think I maybe had just woken up from a nap and didn't brush my teeth, so. I mean, sleep breath. Yeah. But to the point where if I had only been napping for [DURATION] [DURATION] [DURATION] [DURATION] [DURATION]. For it to be that bad after [DURATION] [DURATION] [DURATION] [DURATION] [DURATION] doesn't seem right. Also, I snore a lot, so those are like my [PERSON_AGE]. Okay. My [PERSON_AGE] things. And so before this past [DURATION] [DURATION] [DURATION] [DURATION], were you getting them how frequently you say? I, I would still say, like once a month. Okay. But, but they're now to the point where, like, I'm actually, I thought I felt one earlier today, but I don't think it's quite protruding yet. Yeah, but I mean, you'll see, like, my, my tonsils are just. They look like craters on the moon. Yeah. So I don't know if that's, like, very typical. And I'm just. My hygiene isn't proper. My [OCCUPATION] was like, how much water are you drinking? I'm not drinking enough water. I know I'm not. I drink a lot of soda, which is not the same. I drink sparkling water, too. So, I mean, I'm not, like, [MEDICAL_CONDITION] [MEDICAL_CONDITION], but I know I'm not. I'm not drinking enough, like, regular straight water. So I think that's probably part of it. How about [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION] at all? No, no [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION]. Do you get [MEDICAL_CONDITION] [MEDICAL_CONDITION] at all, like [MEDICAL_CONDITION] [MEDICAL_CONDITION] or. No. When I get a [MEDICAL_CONDITION], though, it usually starts with my throat and then it moves quickly to my lungs, usually, or, or my sinuses. Okay. I actually got a horrible [MEDICAL_CONDITION] [MEDICAL_CONDITION] over New Year's. I had to go to the [ORGANIZATION] because I was like, I was dizzy and, like, felt like I was going to fall off the toilet when I was sitting on the toilet. So it was just really bad. And then that kind of took, like, I did [DURATION] [DURATION] of [DRUG] and that didn't quite kick it. So then I did some [DRUG] from [DURATION] [OCCUPATION] [OCCUPATION] [OCCUPATION] and that seemed to finally get it. Oh, good. Get it out. But that was really weird. I haven't had [DURATION] [MEDICAL_CONDITION] [MEDICAL_CONDITION] in. Yeah, as [DURATION] adult, you don't typically feel like you get [MEDICAL_CONDITION] [MEDICAL_CONDITION]. Yeah. But I, and then I, I, I noticed some congestion, like, not up front, but, like, deep in my sinuses where like, like, I Do that a lot. I was going to ask if you have, like, [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS]. Yeah, a lot. Yeah. Okay. Any facial pain or pressure? Headache, Difficulty breathing through the nose? Ears feeling plugged and popping? Not anymore. Okay. Right. But I. I mean, I can usually pop my ears. I mean, I always feel like whenever I yawn, like I feel a little bit of a plug and then it goes away or I do like the. Like the thing. Like the fake yawn. Yeah, exactly. Get it? Yeah. Okay. All right. And then. Anything else that you wanted to mention otherwise? No. I was gonna talk to you about my ear, but that finally went away, so. Okay. We'll get a good look. Okay. Let me just pause this. [MEDICAL_PROCESS] [MEDICAL_PROCESS] on [MEDICAL_PROCESS] [MEDICAL_PROCESS]. The tonsils are one plus and cryptic. And then the remainder of the [MEDICAL_PROCESS] [MEDICAL_PROCESS] slots are normal. Next paragraph is assessment. Number one is [MEDICAL_CONDITION] [MEDICAL_CONDITION], comma, chronic. Number two is [MEDICAL_CONDITION] [MEDICAL_CONDITION]. Next line. [PERSON_NAME] reports a long history of [MEDICAL_CONDITION] [MEDICAL_CONDITION], comma, since her [PERSON_AGE] years, period. They typically were being produced about every month, but now for the past [DURATION] [DURATION] [DURATION] [DURATION], she gets them every two weeks, period. They can be quite large, period. She feels them stuck in her throat many times and feels the irritation from them, period. She has also had some recent [MEDICAL_CONDITION], period. She does not get [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION], period. Overall, comma, she does find the stones problematic enough that she would want to consider [MEDICAL_PROCESS] [MEDICAL_PROCESS] to have [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS], period. I think this is quite reasonable if she feels like she is at the point where she is done with having this issue, period. Next paragraph. Plan number one. I discuss my assessment as above with the patient. Number two. I discussed definitive management of [MEDICAL_CONDITION] [MEDICAL_CONDITION] and [MEDICAL_CONDITION] [MEDICAL_CONDITION] involving [MEDICAL_PROCESS], period. I described the procedure and discussed Correction. I described the procedure and answered the patient's questions to her stated satisfaction. Period. If she would like to move forward with [MEDICAL_PROCESS], she can call to schedule a period. This would be scheduled as [DURATION] [MEDICAL_PROCESS] under [MEDICAL_PROCESS] [MEDICAL_PROCESS] with a one point, no correction, just a [DURATION] [DURATION] procedure time. End of patient note. 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