{ "text": "[PERSON_NAME] [PERSON_NAME]. Date of birth, [DATE_OF_BIRTH] [DATE_OF_BIRTH], [DATE_OF_BIRTH]. She's a follow up for [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS]. Last visit, [DATE], [DATE], [DATE], [DATE]. And she had a [MEDICAL_PROCESS] [MEDICAL_PROCESS] of a. Of an intradermal nevus with associated scar on the right medial low back, otherwise benign. Exam. Pull forward the derm history from the [DATE], [DATE], [DATE], [DATE] note. Did I give you enough time? Perfect. Hello. Welcome back. How are you? Me too. This is just gonna help take my notes. So I promise. It just sits in the corner and does nothing. She says that's cool though, that you can just sit and talk. It's very cool. Is it pretty aircraft? It is. Okay. It definitely still saves me time from doing things from scratch. But there is. It's a lot more editing than like, if I had a. Like a [OCCUPATION] [OCCUPATION] working with me that typed it up. But it's. It's not as. It's not that bad. Is it similar to that, like dragon, whatever that's called. So it's done by the same people, but the goal, like with regular dragon, like I have to go back out there and sit and just dictate. Right. This sort of takes our whole visit and actually like populates it into a note so it. It puts what you talk about and then the exam that I talk about while I look at you. And then our plan at the end. So. I know it's crazy. Come on, what's going on here? And we're back just for. Just for a like [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS]. Okay. Because. No, it's been a little over [DURATION] [DURATION], I think. So anything that you're particularly worried about? I think the one in my back up here, here. And then this is weird. Like on my labia, there's like one little. And I think I've had it for a while. I don't know what it is. It's just. It doesn't bother me at all. It hasn't grown. I don't know what it is. So years. You think it's been there or not sure. I'm not even sure. Okay. Yeah, that's fine. We'll take a good look. Any big changes in your health? I did not see much at all, so. Well, fantastic. Pretty boring. Not a bad thing. Let me take a look at you. Just start by looking through hair and work our way down. There is something like on. Let's see, where is it? Yeah, where? There's something I can do. It's so hard to find when you're like, here. I don't know. Yeah. This is actually a little Cherry angioma. One of those red ones up on the left vertex scalp. So that one is fine. Okay. Look through the rest here. I'm sorry, I don't know where you want. No, you're fine. Tip forward a little bit. I'll look at top first, and then I'll look at the rest. Okay, good. You can sort of look straight ahead again. Well, any fun vacations planned? I do. I was just in [LOCATION] the [DATE_INTERVAL] [DATE_INTERVAL] [DATE_INTERVAL] [DATE_INTERVAL] for a girlfriend's [PERSON_AGE]. We just kind of went for [DURATION] [DURATION] [DURATION]. Fun. And then I'm going to [LOCATION] in public next Thursday. Oh, nice. It was so nice to be in [LOCATION]. Just to be in the warmth. Yeah. And not have a coat anyway. That's so nice. How about you? I also took a warm [LOCATION] trip a few weeks ago. Nice. Oh, yeah. Where in [LOCATION] [LOCATION]? I went to [LOCATION]. [LOCATION]. Oh, nice. Okay. Yeah, it was. It was wonderful. All the testing is just annoying, and I think people are gonna start dropping that soon. But do you have to get tested to go to [LOCATION]? I don't have to test to go. Oh, amazing. I just have to test. Yeah. And that I thought wasn't so bad because, like, our store just did it. And you just do the [MEDICAL_PROCESS] [MEDICAL_PROCESS]. Right. Well, and I had. I'm going with my daughter. So she. We both went and just got [MEDICAL_PROCESS] [MEDICAL_PROCESS] this week just to make sure we didn't have, like, antibodies or anything, because I didn't want to get down there and be like, I didn't think either of us ever had it, but I just. Yeah, I was sick for, like, [DURATION] [DURATION], and I just. And I tested negative then, but, you know. Yeah, so. So this one on the right upper back, you notice. So this actually is not a mole. It's a benign growth called a sea of [MEDICAL_CONDITION], which is more of a wisdom spot, age spot, whatever you want to call it. So it's actually completely fine. Okay. And I know there's, like. I don't know if this before here, too. Like, I feel like that on your left low back is actually like a [INJURY] [INJURY]. You think of it as like a big blackhead. Okay. Otherwise, other moles on the back look fine. A few [MEDICAL_CONDITION]. Have you been tanning? Well, just. I was in [LOCATION]. That's it. Right. You said you were in [LOCATION]. Okay. Will the place you're staying test before you come back, or do you have to figure out. That's so nice. Yeah, I'm pretty sure they test before and Then I was tempted. I have like tests that I was just gonna throw in my baby. Yeah. But I don't know if they'll allow that, so. They won't. Unless you have one that comes with. Some of them come with the option to like zoom chat a [OCCUPATION] for [DURATION] [DURATION] and they basically watch you take the test. Those you can use. I had a friend use that before. But I mean, my dad and I are both fully [MEDICAL_PROCESS]. Yeah. Cases are so low right now. This is a great time, I think, to travel. My trip actually had gotten rescheduled from over [EVENT] [EVENT] because my partner got [MEDICAL_CONDITION]. But I was way less stressed out traveling now than I would have been. Right. Everything was crazy. Yeah. Do you think we're on the downhill? I think. I really hope so. Well, then I do. I just have no idea what's coming next. I'm gonna look at [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION]. I know [PERSON_NAME] was saying how he heard [LOCATION] [LOCATION] is having really bad cases. They are. But my. They've done such a good job of avoiding it to begin with. They basically don't have much protection except for people who've been [MEDICAL_PROCESS]. So I don't think it's like a new thing that suddenly popped up so good. Otherwise the rest of your moles all look completely fine. You do make a lot of them. So I know it's hard to. It's hard to kind of keep a good eye on all of them. But I have not seen anything so far that I'm worried about for you. And then lots of smaller moles on the legs. Just those little kind of one [DURATION] [DURATION] millimeter light brown. Just going to look at what I think. You have one down here. Yep. Little 2 millimeter mole on bottom of right foot. Looks fine though. Yeah. I've never been to the [LOCATION]. I've heard good things though. We've been there one other time and really had a great time. Good. It's just so nice to just get away from. I know. Fantastic. Let me. I'll look at gray area last. I'm gonna have you stunned so I can look at back of legs first turn for me. Good. Just a few normal moles back there, but nothing else. I'm just going to look under here. Great. Go ahead and sit. We'll look at face. And then I'm happy to take a look at that labia one too if you want. So slip off mask. I know that's one thing I just wish. I'm so tired of wearing masks [DURATION] [DURATION] at work. Too. Ever. Getting ever. I feel like we are never going to. I know. I don't think we are. I know. I'm hoping that if anything, it goes to, like, winters only at some point, but I don't think that's gonna be this year. Well, I even thought, even just when we don't have patient, like, when we don't have patience. Can we just take them up? I know. Yeah. Like, that's. Yeah, I hear you. I feel like we're all on the same page there. Good. So go ahead for the groin area. I'll just have to pull underwear down and then lay back. All you do is pull underwear down to ankles, and then I'm just gonna have you do almost a little frog leg. So kind of bend up. Perfect. Oh, yeah, I see that little one. I'm gonna spread and look around, but that is a little cyst. So left labia majora there. It's about 3 millimeter white papule. You can think of it as, like, a giant. What's called a milia. We get them on our face. Sometimes they're just these little white spots. Nothing to worry about. Leave it alone. Okay. If it grows to a point where it's getting irritating, let me know. I do sometimes deal with those, but otherwise, just given the location, often I'll send people to [OCCUPATION]. It could be cut out, but it is not dangerous at all. So it's fine to just ignore them. Label. So, yeah. Will he eventually go away or. I don't know. When they're small, they do sometimes. This one's a little. It's still small, but for [PERSON_NAME], it's a little bit bigger. So my suspicion is it will not. Okay. It'll probably just stay. And so if you want it removed at some point, probably g. I've done them before. They're just always a little bit more than I bargained for. I mean, it doesn't bother me or anything. I just wanted to make sure it wasn't anything that I should. No, it is not. It's not worrisome at all. But it's always good to get those things checked out. You certainly can get [MEDICAL_CONDITION] [MEDICAL_CONDITION] and things like that, even in areas that haven't seen the sun. So it's good to get looked at, honestly. Skin looks great. Probably every [DURATION] [DURATION] [DURATION] just pop in, because you do make a lot of moles. I don't think it needs to be every single year like clockwork, unless you have new concerns. But maybe every [DURATION], [DURATION], something like that. Sound reasonable? Okay. Put in your since I like if I do it every [DURATION] [DURATION] [DURATION] [DURATION] kick me out like I'm a new patient. That's [DURATION] so as long as you come within [DURATION] you'll still be considered established. Yep, exactly. So sometimes that kicks you out. Yeah and that's one of the reasons that every other is sort of a easy number to do unfortunately they don't schedule out that far so you either have to get on recall list or stick it on a [ORGANIZATION] calendar somewhere and then always let me know sooner if something comes up that's you know rapidly growing [INJURY] [INJURY] that aren't healing anything that you're worried about if you my chart me we can kind of triage it that way so sound good? Yeah. All right do you want a printed copy of your after visit paperwork? Okay then you you will you are welcome to just head out and have an absolutely fantastic trip. Thank you. 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