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  "text": "[PERSON_NAME] [PERSON_NAME]. Date of birth [DATE_OF_BIRTH] [DATE_OF_BIRTH]. He is a follow up for [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS]. History of [MEDICAL_CONDITION]. His last visit was [DATE] when he had a [MEDICAL_PROCESS] [MEDICAL_PROCESS]. Hello, [PERSON_NAME]. Hi, [PERSON_NAME]. [PERSON_NAME]. How are you? Good. Good to see you again. This just sits here and helps me write my notes, so ignore it. I promise I'm not checking texts as we talk. So. And we're back just for our good head to toe today. Is that right? Okay. Yeah. Well, what's new or changing on your skin that you are worried about? On my skin, Nothing. Nothing. Okay. Non skin things you're worried about. I can't. I can't fix most non skin things, but. Good. Yeah, I think last year it was like you said, I probably didn't have to come back, but in one. Yeah, that's okay. I wanted to come back next year and we'll see how it goes. I think that sounds really reasonable. So nothing bleeding, painful, growing quickly, Nothing like that. Okay, fantastic. And any major changes in your overall health since last year? Well, other than maybe needing a new knee, it's something. Oh no. Okay. You know, but it seems to be getting better. Okay. It's never going to get better. But I don't have the. The pain that I used to have. Oh, fantastic. I seen the [OCCUPATION] here and then you know, he says, well, just go as long as you can, you know. And then at that point, you know, when they get done [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] and then it's time, you know, and it's. It's. It's been fine. Oh, perfect. So I'm just, you know, let her go. Good enough is good enough for now. So, you know, another nap? Really? I don't have headaches anymore. Fantastic. You know, don't drink it all. It's [MEDICAL_PROCESS] [MEDICAL_PROCESS] sip of wine. Yeah, the [DRUG] makes it. The carbonation makes it taste terrible. I did not know that. Yeah, at least for me it does. So I don't have beer. It's been like [DURATION] [DURATION] [DURATION] [DURATION] [DURATION]. Oh my gosh. What an odd side effect. So I, you know, it's just. It's just one of those things where. Yeah, sorry, don't need it. Yeah, that's very fair. So. Perfect. Well, I'll have you move up here. We'll do a good head to toe and we can kind of decide based on today when we need to see you next. So you can just sit. Perfect. I will start by looking through hair. So tip forward [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] for nothing on left earth. Great. I'll come back to your face. Let me look at the rest of you first. Did you have, like, a [MEDICAL_CONDITION], like, bump on the back? There's a spot back there that I did. It itches, you know. Itches? Yeah. And I can't itch it, so I usually roll up against the. The door. How long has it been there for? Oh, it's sizable months. You think? Oh, yeah. Okay. I'm just gonna wipe it off with some [DRUG]. Yeah, it is. It's right sort of [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] below your left shoulder blade. But I'm just gonna try to [MEDICAL_PROCESS] [MEDICAL_PROCESS] closer look and see if I can get any clue as to what it actually is. So it's just [MEDICAL_PROCESS] [MEDICAL_PROCESS] scaly pink patch, but it's got this kind of flaky, peeling scale on is just about 1.3 centimeters. Okay. Huh. So itchy. Not painful, right? Bizarre. Have to think about that one for a second. I can't put a name on it. I just don't know exactly what it is. And that always bothers me [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] because sometimes when we have these red kind of patches where [MEDICAL_PROCESS] [MEDICAL_PROCESS] doesn't look totally healed over [MEDICAL_PROCESS] [MEDICAL_PROCESS]. Sometimes [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION] can do that, but they often have kind of specific features. I can see that point me in that direction. And this is. This does not. Does it come and go? Like, do you notice it sometimes and not others or. Hard to say. Pay attention. Okay. Just let the arm out there for me. I think there's one black spot. Right. I think it's from my chain, maybe up on the chest. Okay, I'll come [MEDICAL_PROCESS] [MEDICAL_PROCESS] look at that back. Otherwise, just with some moles and some of these benign growths called keratoses. You do make [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] bigger moles, but they still look okay. Looks fine. Good. You can relax down. I'll [MEDICAL_PROCESS] [MEDICAL_PROCESS] look at your chest and belly here. Yeah. You have several of these [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION]. Those are the dark brown ones that you're seeing. Those are not dangerous at all. If they're very itchy or bothersome, we can [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS]. But you can also just leave them alone. Do they bother you at all more? Just curious. Okay, good. Otherwise, just some more normal moles and some of these little red cherry angiomas on the chest also. Fine. You can have that back. Sorry, my stomach is growling. Noisy. Take a look at legs here. Just a [MEDICAL_CONDITION] on the left thigh. Nothing to worry about there. Good. Go ahead and stand up for me so I Can look at the back of your legs. Really nothing back there. Just [DURATION] [DURATION] normal moles. Do you mind if I look at your bottom? Oh, go ahead. All right, you can sit. Let's do feet, and then we'll come back to face. Let me know if you need any help with soccer. Good. Just kick out that part for me. All right, perfect. Last thing we'll do is look at your face. Can just slip off Mask and glasses for me. I just shaved yesterday the beard off. So amazing. How long had it been there? [DURATION], [DURATION] [DURATION]. Oh, my gosh. So if it's [MEDICAL_PROCESS] [MEDICAL_PROCESS] red, it's. No, it actually looks fine. That's funny. I know. I'm always surprised about the facial hair that emerges when people take their masks soft. You can really hide it well. Yeah, I don't see anything I'm worried at all about today. Well, minus this back, I'm still thinking about this one. Okay, perfect. I just want to see if we talked about this at all last time. Do you think it's been over [DURATION] [DURATION] that you've noticed this itchy spot or not? Kind of comes, like, during the winter. Okay. Yeah. I don't not talk about it last time. Okay. Okay, here. Here's sort of my thoughts. So first of all, skin looks great. Otherwise, I don't see anything I'm worried about at all. I don't see any of those little [MEDICAL_CONDITION] [MEDICAL_CONDITION] that we need to mess with. So from that standpoint, I would actually say I think my recommendation from last time still goes. I think we could easily space out our visits to [DURATION] [DURATION] [DURATION] [DURATION] instead. The one thing that I just am still struggling with is that spot on your back, and here's why. So an itchy spot on the back in the middle [MEDICAL_PROCESS] [MEDICAL_PROCESS] winter is often something called [MEDICAL_CONDITION], which is just a sort of dry, irritated skin. This does not look perfect for that. And that's the one thing that's just making me pause [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS]. So I think we have two main options. I don't want to just let it go [DURATION] [DURATION], because if it is a thin little [MEDICAL_PROCESS] [MEDICAL_PROCESS], I don't want to let it grow that long. So one option is to try to treat it, which is [MEDICAL_PROCESS] [MEDICAL_PROCESS] tricky. It involves putting an [DRUG] on it, which you'll probably have to use some sort of spatula, wooden spoon, something like that to get on there and see you back this summer to prove that it's gone. I don't need to do a [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] this summer. We would just need to do a quick recheck. The other option, if that sounds like a hassle, would be for us to just [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] of part of it today and find out for sure what it is. So if we [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] sample today, we find out for sure whether it's [MEDICAL_CONDITION] or [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS], and then we know what to do with it. And if it's nothing, we can still see you back in [DURATION] [DURATION] [DURATION] [DURATION]. But that doesn't involve a [MEDICAL_PROCESS], which is [MEDICAL_PROCESS] [MEDICAL_PROCESS] shot of [DRUG] [DRUG]. We do [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS], send it to be looked at under the microscope, and in about [DURATION] [DURATION], we get our answer. So I'm okay either way. I think it'd be fine to watch for [DURATION] [DURATION] [DURATION], not fine to watch for [DURATION] [DURATION]. So I think the big decision point is, do you just want to come back in [DURATION] [DURATION] [DURATION] to recheck it and avoid the procedure for now, or do you want to just do the procedure today? Let's just do it and get it over. Okay. I think that's the best option because, honestly, if it's nothing, then we don't have to sit and worry about it. So we'll take what's called a [MEDICAL_PROCESS] [MEDICAL_PROCESS] of part of this. So we'll just kind of [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] edge of it. We [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] with a medication called [DRUG], which is sort of similar to what they use in mouths. We basically use [MEDICAL_PROCESS] [MEDICAL_PROCESS] sharp blade to [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS]. Off. No [MEDICAL_PROCESS] because we don't go very deep. We just use [MEDICAL_PROCESS] [MEDICAL_PROCESS] medicine to make it not bleed, give you [DRUG] [DURATION] [DURATION] band aid, and send you on your way. So sound okay? Sounds like okay. Let me go grab what I need from. And I'm going to grab the [OCCUPATION] [OCCUPATION]. We'll be back. The whole thing takes [DURATION], [DURATION] [DURATION]. The setup takes the longest part. The procedure itself is really quick, so. So. Okay. Okay. All right. I'll be right back. It's up to you if you want to get at least partially dressed. It'll take us [DURATION] [DURATION] [DURATION] [DURATION], so. Okay. So neoplasm of uncertain behavior. Left upper back, [MEDICAL_CONDITION] [MEDICAL_CONDITION] versus [MEDICAL_CONDITION] [MEDICAL_CONDITION] versus fixed drug eruption. She have [MEDICAL_PROCESS] for diagnosis, then [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS], and then follow up in [DURATION] [DURATION].",
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