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  "text": "[PERSON_NAME] [PERSON_NAME]. Date of birth, [DATE_OF_BIRTH] [DATE_OF_BIRTH], [DATE_OF_BIRTH]. Follow up for [INJURY] [INJURY] [INJURY]. Last visit with me was [DATE], [DATE], [DATE], [DATE], when she had two [MEDICAL_PROCESS] that were non specific. One showed dermal edema with chronic inflammation and vascular congestion. The other showed [MEDICAL_CONDITION] [MEDICAL_CONDITION] with associated mixed inflammation. And [MEDICAL_PROCESS] was non specific, although did have findings that could be seen in the setting of [MEDICAL_CONDITION] [MEDICAL_CONDITION]. We followed up with [MEDICAL_PROCESS] [MEDICAL_PROCESS], which was notable only for A mildly positive ANA of 1 to 160 otherwise. Other antibodies were negative. C ANCA was negative. Complements were normal, [MEDICAL_PROCESS] were negative. [PERSON_NAME], how are you? Good. Okay. All right, so. So it's been [DURATION] [DURATION] [DURATION], so give me the update. I heard a little bit from [PERSON_NAME], but yeah. Okay. So you are doing now your own [MEDICAL_PROCESS] [MEDICAL_PROCESS], Correct. You're not seeing them? I see them in [DURATION] [DURATION]. [DURATION]. That's a long time. Yeah, I'm like, whatever. I'm like, all right, [PERSON_NAME]. [PERSON_NAME], should I come see you? Because clearly, [DURATION] [DURATION], what am I supposed to do? Yeah. So this, believe it or not, actually looks better. Are you serious? I'm not kidding. Oh, good. It really does. I was scratching, so it's okay. You are getting more of this weird discoloration in this sort of net like pattern [INJURY] [INJURY] leg, the left calf. Is it gonna heal up? Yes. Okay. It will eventually. Because you see how this. You see how this is almost healed in. Yeah. This will eventually do that. Okay. It's just gonna take a long time. Look at feet here. Tell me where you're at with the [MEDICAL_CONDITION]. I saw you've gotten some more [MEDICAL_PROCESS] [MEDICAL_PROCESS]. Yeah. Are they close to considering treatment or. Okay. I don't know how long it's going to take them, but. Yeah, with the insurance and stuff. Because I just did the [MEDICAL_PROCESS] [MEDICAL_PROCESS] and stuff for him, so. Because part of me is still just. And we'll talk more because I. We still don't have. But. But part of me does still wonder if there could be something related to your [MEDICAL_CONDITION] that's triggering this. Okay. Because we do see that sometimes. Okay. Yeah. Like I said, I didn't even know I had it. I must have. No, I know I caught it at work. I would have because I worked. I used to work at. I worked at [ORGANIZATION] [ORGANIZATION]. [ORGANIZATION] probably. Yeah. Yeah. Because you've never used [MEDICAL_PROCESS] [DRUG], anything like that. Yeah. Healthcare is the other one that. Okay, so hand. Oh, look, this one. So when did this pop up? Oh, when I went to the [ORGANIZATION] [ORGANIZATION] that morning, it was. It was. I mean, it was like. I think I saw the photo. It was just a big [INJURY]. Uh huh. And then. Then maybe like I would say maybe [DURATION] [DURATION] ago, it [INJURY] [INJURY]. Okay. Just gonna look at the eyes here you are a lot less swollen, which is also great that I just want to feel. And no like lumps or bumps under the skin that you've noticed. Okay. Let me just peek it back here. What's this one from? Have I asked about that before? Yeah, you did. I don't know what. This popped up. I've been having it since I was [PERSON_AGE]. It just. Just popped up. I want to get rid of it, so. And I have a [DURATION] [DURATION] other issues I want to deal with too. Yeah. I want all my skin to be one color. Can that work without me reaching? Which areas do you feel like are not? Like my face and my legs and my arms. Yeah. I think my chest is the color it should be, but it's my arms and my face because I was premature and I guess they had me under some lights. Any discoloration? I guess if it has been with you for your whole life. Yeah. It's probably not going anywhere. It's probably not going anywhere. I'm gonna have you lay down and flip over for [INJURY] [INJURY] [INJURY] [INJURY] [INJURY]. So I'm gonna put [INJURY] [INJURY] down. Nope, wrong way. Oh, back down. Can we massage my legs today? It hurts so bad. And you're doing tubi grip, right? The little. Okay, so go ahead and lay down and flip over for me. I want to see back [INJURY] [INJURY]. Sorry. The second one is really. I could have closed it. No, that's okay. Okay. What? It hurts. I know. I mean, they are so. Still really swollen. Oh my. The [INJURY] back here actually look a lot better though. So I'm going to. I'm going to pull up photos real quick. Okay. Hang tight where you are. I'm sorry. And then I'm going to look at your bottom too. And then all of that [MEDICAL_PROCESS] [MEDICAL_PROCESS] I did, [PERSON_NAME], showed essentially nothing. Of course it did. Which is good. It. It does mean we didn't find anything really out [INJURY] [INJURY] ordinary, but I'm definitely. Yeah. So the [INJURY] [INJURY] [INJURY] [INJURY] [INJURY] [INJURY] [INJURY] are actually doing better too. How do I get that. That crusty stuff off? That's gotta be nuts. Yeah, it's gonna slowly slough off. What do they have you putting on there now? Do you remember? I'm just gonna look at your bottom here too. Okay. Wait, when did this [INJURY] [INJURY] other side of your butt come up? I don't. No, probably. Probably within the last [DURATION] [DURATION] [DURATION]. What? I didn't know it was there until you said something, but I did feel something. I'm just gonna come look over there. I'm just. I mean, you're not making this easy, that's for sure. It almost looks like you had some [INJURY] that healed in, but you don't remember having [INJURY] [INJURY] [INJURY] left side of your bottom. Yeah, that's where they were. Wait, they weren't. Oh, you had some there originally. You also had them [INJURY] [INJURY] right side. Yeah. Wait, I don't remember seeing them [INJURY] [INJURY] left side. No. No. I can't remember what side it was on. It was [INJURY] [INJURY] right side. It was [INJURY] [INJURY] right side. Yeah. I don't know where you gave them [INJURY] [INJURY] left. They just popped those. That's absolutely bizarre. Oh, my goodness. So. It hurts. I know. You are so tight. Okay. Sore up here, too. Strange. Okay. And no new spots except for the. The hand. Yeah. Okay. Okay. All right, you can sit back up. Okay. And then remind me, you work now or you're not working now? No. Okay. No. No. And I haven't been working since the [EVENT]. Okay. And then they told me I couldn't. They said, well, the [OCCUPATION] [OCCUPATION] told me. She said, you better not be working right now. I said, well, I'm not exactly. There's no way I'd be able to walk. This was [TIME]. [TIME]. No, sorry. I mean, it actually looks quite healthy at the bottom, which is new. That's good. I wanna. I'm gonna do something. Not. I'm not gonna make you sit around for it. I'm gonna talk to [PERSON_NAME], the [MEDICAL_PROCESS] [MEDICAL_PROCESS] [OCCUPATION], because what I'm wondering. So believe it or not, I think some stuff actually looks better. Yes, yes. Yes. I am still very puzzled, and I still think there's probably something going on that we don't fully understand yet. But I don't want to put you through more [MEDICAL_PROCESS] unless I'm very confident that we're gonna get an answer. Okay. And I don't see anything today that I think would give us an answer. So I don't see anything today. I want a [MEDICAL_PROCESS]. What I. And do you have pretty good access to transportation? You have your own car, or do you have to get transportation to come to appointments? You have to get transportation or if it's [INJURY] [INJURY] bus line, I can get. I'm on a bus. Yeah, I have a car, but My car is not wrecked. Where did you see [MEDICAL_PROCESS] [MEDICAL_PROCESS] at the main campus or here at the main campus? Main campus. And is that easy to get to or not? Okay. Because what I'm wondering, and honestly what I was kind of hoping they would offer is I want to see if they'd be willing to do their own [MEDICAL_PROCESS] where you actually leave it on for [DURATION] [DURATION] [DURATION] and then come back. They did wrap it up. They did put one of them, what they call them. They put them on. They put those things on me. They had to me and everything because I think you might need something a little bit tighter. And the reason for that is your legs are just still. So I mean, they're way better than they were last time, but they're still basically solid when you press on them, meaning that's all swollen and then. So I'm gonna reach out to them. Otherwise, I genuinely don't think we should do too much different right now. I think we should just give it another [DURATION] [DURATION]. But if something new arises, then I want you to let me know right away because we may need to repeat [MEDICAL_PROCESS] at some point. Okay. If you start to get new spots. So. Okay. So sound. Okay. Can we wash it up a little bit or something? What, what do you want me to do? I'm gonna have them come grab photos and then can you give me some of them? Oh, more tuby grips? Yeah, we can do more tubi grips. So yeah, and I was just saying clean it up a little bit. Yeah, we can definitely. Oh, I haven't cleaned it in a [DURATION] [DURATION] [DURATION]. Oh, no. How often are you doing your. Your dressing changes? Twice a day. Okay. If I can. Okay. But you just haven't in the last [DURATION] [DURATION] [DURATION]. Yeah. Cuz it hurts so bad. I just couldn't. Couldn't do it. Okay. Okay. And then do you typically keep the tubi grip on [DURATION] [DURATION]? Yeah. Okay, good. All right. Yeah, let me have them come in. We can kind of gently clean things up with some saline, put some. We don't have any super specialty supplies here, but we can do Vaseline, some nonstick gauze, and stick some tubi grips back on. Then I'm gonna have them do updated photos, front and back and bottom. Okay. Cause you have something new going on on your left side, although it looks like it sort of happened and is getting better. Okay. And then I may, at some point, if you're okay with it, reach out to your liver. [OCCUPATION], do you mind if I do that? Just give them a call to see the one who's gonna treat your [MEDICAL_CONDITION], because I just want to see how quickly that all can get rolling. Oh, please. Thank you. Okay. And then we should probably check in in another [DURATION] [DURATION] again. Sound good? Good to see you again. I'm gonna send in someone to help you out. Okay? I'll be exam later. You can just leave that.",
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