Continuity of Care Document (C-CDA R2.1) (Encounter date: 03/17/2026 10:48 AM)616 N Laclede Station RdSaint LouisMO63119USScanlonGrahamEsse HealthPO Box 419052Saint LouisMO63141-9052USBoyd1SharmaineEsse HealthPO Box 419052Saint LouisMO63141-9052USEsse HealthPO Box 419052Saint LouisMO63141-9052USFogartyMark7419 Watson RoadSaint LouisMO63119-4415USFNPStephanieBingham
Allergies, Adverse Reactions, Alerts
SubstanceReactionStatusCriticality
No Known Allergies ActiveNo Information
Medications
MedicationInstructionsDosageDose QuantityEffective Dates (start - stop)StatusIndicationFill StatusComments
Naltrex 1.5 mg capsuleTake 2 capsules daily25 MG1 capsuleMar-10-2025 - Active
omega-3 fatty acids 1,000 mg capsuletake 1 capsule by oral route every day1 capsuleDec-06-2023 - Active
Vitamin D3 50 mcg (2,000 unit) tablettake 1 tablet by oral route every day1 tabletJul-12-2023 - Active
atomoxetine 25 mg capsuletake 1 capsule by oral route every day in the morning25 MG1 capsule - Active
7419 Watson RoadSaint LouisMO63119-4415USFogartyMarkEsse HealthPO Box 419052Saint LouisMO63141-9052US7419 Watson RoadSaint LouisMO63119-4415USFogartyMarkEsse HealthPO Box 419052Saint LouisMO63141-9052US7419 Watson RoadSaint LouisMO63119-4415USFogartyMarkEsse HealthPO Box 419052Saint LouisMO63141-9052US7419 Watson RoadSaint LouisMO63119-4415USBinghamStephanieEsse HealthPO Box 419052Saint LouisMO63141-9052US
Problems
ConditionTypeEffective Dates (start - stop)Diagnosed DateClinical StatusComments
Allergic dermatitis of right upper eyelidDiagnosis interpretation (observable entity)
Allergic dermatitis of right lower eyelidDiagnosis interpretation (observable entity)
Allergic dermatitis of left upper eyelidDiagnosis interpretation (observable entity)
Allergic dermatitis of left lower eyelidDiagnosis interpretation (observable entity)
Scrotal painDiagnosis interpretation (observable entity)
Infected cyst of skinDiagnosis interpretation (observable entity)
Local infection of the skin and subcutaneous tissue, unspecifiedDiagnosis interpretation (observable entity)
Abnormal thyroid blood testDiagnosis interpretation (observable entity)
Chronic autoimmune thyroiditisDiagnosis interpretation (observable entity)
Injury of left knee, initial encounterDiagnosis interpretation (observable entity)
Nocturnal hypoxiaDiagnosis interpretation (observable entity)
Loud snoringDiagnosis interpretation (observable entity)
Nasal congestionDiagnosis interpretation (observable entity)
Abnormal blood chemistryDiagnosis interpretation (observable entity)
Seborrheic dermatitisDiagnosis interpretation (observable entity)
Generalized anxiety disorderDiagnosis interpretation (observable entity)
Acute bacterial conjunctivitis of both eyesDiagnosis interpretation (observable entity)
Other fatigueDiagnosis interpretation (observable entity)
Acute nonintractable headache, unspecified headache typeDiagnosis interpretation (observable entity)
Acute pain of left kneeDiagnosis interpretation (observable entity)
Encounter for general adult medical examination without abnormal findingsDiagnosis interpretation (observable entity)Stable
Generalized anxiety disorderDiagnosis interpretation (observable entity)Stable
Generalized anxiety disorderDiagnosis interpretation (observable entity)Stable
HypoxemiaDiagnosis interpretation (observable entity)Stable
Encounter for general adult medical examination without abnormal findingsDiagnosis interpretation (observable entity)Stable
Generalized anxiety disorderDiagnosis interpretation (observable entity)Stable
Encounter for general adult medical examination without abnormal findingsDiagnosis interpretation (observable entity)Stable
Encounter for general adult medical examination without abnormal findings~Stable
Generalized anxiety disorder~Stable
AnxietyProblem (finding)Active (qualifier value)7/23 GAD7 - 9 (mild) and PHQ9 5 (mild) From St Louis-Parkway South. Dropped out after a suicide attempt and started programming. Did not go to college
Patient encounter statusProblem (finding)Active (qualifier value)Occupation: Software development Motivational Technologies Family: Single. Orientation unknown FHX: Father and brother with depression Tobacco: never Alcohol/Drug use: 2 drinks twice a month Surgery: 2022 inf turbinate reduction PHMx: Anxiety and depression. Suicide attempt at age 16. Tdap: done 2019 COVID vaccine: Done x 5 done fall 2024 Flu vaccine: Done fall 2024 HCV screening: Donated blood at age 17 so has had HCV screening. Plays pickleball Had elevated Bilirubin with eye doctor. Has dry eyes and sees Dr Bourn. 1/24 CMP with BG 100, GFR 124, Bili 0.9, CBC nl, DHEA-s, Test, SHBG nl. Cu, ZN, Vit A nl. Omega 3 index low risk. Recommend checking on HPV vaccination. Records show one dose See Immunization record 7/25: saw ophtho for dry eyes. In light of dry eyes, low vitamin A, and GI complaints, they recommended testing for celiac, SIBO, or calprotectin testing. 8/25: Saw GI. already on GF diet. Celiac test neg. Plan EGD. 9/25 seen for scrotal pain.
Generalized anxiety disorderProblem (finding)Active (qualifier value)7/23 GAD7 - 9 (mild) and PHQ9 5 (mild) 3/24 PHQ9-9, GAD7-6 From St Louis-Parkway South. Dropped out after a suicide attempt at age 16 and started programming. Did not go to college. Brother committed suicide when patient was 14. Seeing Psychiatry now.
HypoxiaProblem (finding)Active (qualifier value)3/24: sleep study with no sleep apnea but nocturnal hypoxemia O2 below 88 % for 10 minutes of recorded time 6/24 sleep study with no sleep disordered breathing and normal sats.
Procedures
ProcedureDate
MED LIST DOCD IN RCRDMar-17-2026
OFFICE VISIT-EST-EXPANDEDMar-17-2026
Results
Test NameDate and TimeMeasureUnitsReference RangeAbnormal FlagStatusComments
No Information
Advance Directives
DirectiveYes / NoEffective DateFile Name
No Information
Encounters
Encounter DescriptionPracticeLocationReason(s) For VisitDiagnosesDateProviderProviders Copied on EncounterEncounter Disposition
OFFICE VISIT-EST-EXPANDEDEsse Health, PO Box 419052, Saint Louis, MO, 631419052, US tel:+1-3148511087Esse Health Watson Primary Careacute problem (chief complaint)Allergic dermatitis of right upper eyelidAllergic dermatitis of right lower eyelidAllergic dermatitis of left upper eyelidAllergic dermatitis of left lower eyelidMar-17-2026Bingham Stephanie. 7419 Watson Road, Saint Louis, MO, 631194415, US. tel:+1-3144003360Referring Provider: Mark Fogarty, 7419 Watson Road, Saint Louis, MO, 63119-4415. tel:+1-3144003360
Esse Health, PO Box 419052, Saint Louis, MO, 631419052, US tel:+1-3148511087Esse Health Watson Primary CareGeneral (chief complaint)Scrotal painSep-16-2025Fogarty Mark. 7419 Watson Road, Saint Louis, MO, 631194415, US. tel:+1-3144003360Referring Provider: Mark Fogarty, 7419 Watson Road, Saint Louis, MO, 63119-4415. tel:+1-3144003360
Esse Health, PO Box 419052, Saint Louis, MO, 631419052, US tel:+1-3148511087Esse Health Watson Primary Careacute problem (chief complaint)Infected cyst of skinLocal infection of the skin and subcutaneous tissue, unspecifiedAug-27-2025Bingham Stephanie. 7419 Watson Road, Saint Louis, MO, 631194415, US. tel:+1-3144003360Referring Provider: Mark Fogarty, 7419 Watson Road, Saint Louis, MO, 63119-4415. tel:+1-3144003360
Esse Health, PO Box 419052, Saint Louis, MO, 631419052, US tel:+1-3148511087Esse Health Watson Primary CareNo InformationMar-10-2025Fogarty Mark. 7419 Watson Road, Saint Louis, MO, 631194415, US. tel:+1-3144003360Referring Provider: Mark Fogarty, 7419 Watson Road, Saint Louis, MO, 63119-4415. tel:+1-3144003360
Esse Health, PO Box 419052, Saint Louis, MO, 631419052, US tel:+1-3148511087Esse Health Watson Primary CareGeneral (chief complaint)Encounter for general adult medical examination without abnormal findingsGeneralized anxiety disorderAbnormal thyroid blood testMar-10-2025Fogarty Mark. 7419 Watson Road, Saint Louis, MO, 631194415, US. tel:+1-3144003360Referring Provider: Mark Fogarty, 7419 Watson Road, Saint Louis, MO, 63119-4415. tel:+1-3144003360
Esse Health, PO Box 419052, Saint Louis, MO, 631419052, US tel:+1-3148511087Esse Health Watson Primary CareNo InformationMar-07-2025Fogarty Mark. 7419 Watson Road, Saint Louis, MO, 631194415, US. tel:+1-3144003360
Esse Health, PO Box 419052, Saint Louis, MO, 631419052, US tel:+1-3148511087Esse Health Watson Primary Careacute problem (chief complaint)Chronic Conditions (chief complaint)chronic conditions (chief complaint)Generalized anxiety disorderHypoxemiaEncounter for general adult medical examination without abnormal findingsChronic autoimmune thyroiditisDec-20-2024Bingham Stephanie. 7419 Watson Road, Saint Louis, MO, 631194415, US. tel:+1-3144003360Referring Provider: Mark Fogarty, 7419 Watson Road, Saint Louis, MO, 63119-4415. tel:+1-3144003360
Esse Health, PO Box 419052, Saint Louis, MO, 631419052, US tel:+1-3148511087Excel ImagingNo InformationOct-15-2024Dusek David. 9930 Watson Rd, Saint Louis, MO, 631261827, US. tel:+1-3149848827Referring Provider: Stephanie Bingham, 7419 Watson Road, Saint Louis, MO, 63119-4415. tel:+1-3144003360
Esse Health, PO Box 419052, Saint Louis, MO, 631419052, US tel:+1-3148511087Esse Health Watson Primary Careacute problem (chief complaint)Injury of left knee, initial encounterOct-15-2024Bingham Stephanie. 7419 Watson Road, Saint Louis, MO, 631194415, US. tel:+1-3144003360Referring Provider: Stephanie Bingham, 7419 Watson Road, Saint Louis, MO, 63119-4415. tel:+1-3144003360
Esse Health, PO Box 419052, Saint Louis, MO, 631419052, US tel:+1-3148511087Esse Health Watson Primary CareNocturnal hypoxiaApr-03-2024Bingham Stephanie. 7419 Watson Road, Saint Louis, MO, 631194415, US. tel:+1-3144003360
Esse Health, PO Box 419052, Saint Louis, MO, 631419052, US tel:+1-3148511087Esse Health Watson Primary Carechronic conditions (chief complaint)Generalized anxiety disorderLoud snoringNasal congestionAbnormal blood chemistryEncounter for general adult medical examination without abnormal findingsMar-05-2024Fogarty Mark. 7419 Watson Road, Saint Louis, MO, 631194415, US. tel:+1-3144003360Referring Provider: Mark Fogarty, 7419 Watson Road, Saint Louis, MO, 63119-4415. tel:+1-3144003360
Esse Health, PO Box 419052, Saint Louis, MO, 631419052, US tel:+1-3148511087Esse Health Watson Primary Careacute problem (chief complaint)Seborrheic dermatitisDec-06-2023Bingham Stephanie. 7419 Watson Road, Saint Louis, MO, 631194415, US. tel:+1-3144003360Referring Provider: Mark Fogarty, 7419 Watson Road, Saint Louis, MO, 63119-4415. tel:+1-3144003360
Esse Health, PO Box 419052, Saint Louis, MO, 631419052, US tel:+1-3148511087Care ManagementGeneralized anxiety disorderNov-28-2023Bingham Stephanie. 7419 Watson Road, Saint Louis, MO, 631194415, US. tel:+1-3144003360
Esse Health, PO Box 419052, Saint Louis, MO, 631419052, US tel:+1-3148511087Esse Health Watson Primary Careacute problem (chief complaint)Acute bacterial conjunctivitis of both eyesNov-22-2023Bingham Stephanie. 7419 Watson Road, Saint Louis, MO, 631194415, US. tel:+1-3144003360Referring Provider: Mark Fogarty, 7419 Watson Road, Saint Louis, MO, 63119-4415. tel:+1-3144003360
Esse Health, PO Box 419052, Saint Louis, MO, 631419052, US tel:+1-3148511087Esse Health Watson Primary Carechronic conditions (chief complaint)Chronic Conditions (chief complaint)Encounter for general adult medical examination without abnormal findingsGeneralized anxiety disorderOther fatigueAcute nonintractable headache, unspecified headache typeAcute pain of left kneeJul-12-2023Fogarty Mark. 7419 Watson Road, Saint Louis, MO, 631194415, US. tel:+1-3144003360Referring Provider: Mark Fogarty, 7419 Watson Road, Saint Louis, MO, 63119-4415. tel:+1-3144003360
7419 Watson RoadSaint LouisMO63119-4415USBinghamStephanieEsse HealthPO Box 419052Saint LouisMO63141-9052US7419 Watson RoadSaint LouisMO63119-4415USFogartyMarkEsse HealthPO Box 419052Saint LouisMO63141-9052US7419 Watson RoadSaint LouisMO63119-4415USEsse Health Watson Primary Care7419 Watson RoadSaint LouisMO63119-4415USFogartyMarkEsse HealthPO Box 419052Saint LouisMO63141-9052US7419 Watson RoadSaint LouisMO63119-4415USFogartyMarkEsse HealthPO Box 419052Saint LouisMO63141-9052US7419 Watson RoadSaint LouisMO63119-4415USEsse Health Watson Primary Care7419 Watson RoadSaint LouisMO63119-4415USBinghamStephanieEsse HealthPO Box 419052Saint LouisMO63141-9052US7419 Watson RoadSaint LouisMO63119-4415USFogartyMarkEsse HealthPO Box 419052Saint LouisMO63141-9052US7419 Watson RoadSaint LouisMO63119-4415USEsse Health Watson Primary Care7419 Watson RoadSaint LouisMO63119-4415USFogartyMarkEsse HealthPO Box 419052Saint LouisMO63141-9052US7419 Watson RoadSaint LouisMO63119-4415USFogartyMarkEsse HealthPO Box 419052Saint LouisMO63141-9052US7419 Watson RoadSaint LouisMO63119-4415USEsse Health Watson Primary Care7419 Watson RoadSaint LouisMO63119-4415USFogartyMarkEsse HealthPO Box 419052Saint LouisMO63141-9052US7419 Watson RoadSaint LouisMO63119-4415USFogartyMarkEsse HealthPO Box 419052Saint LouisMO63141-9052US7419 Watson RoadSaint LouisMO63119-4415USEsse Health Watson Primary Care7419 Watson RoadSaint LouisMO63119-4415USFogartyMarkEsse HealthPO Box 419052Saint LouisMO63141-9052US7419 Watson RoadSaint LouisMO63119-4415USEsse Health Watson Primary Care7419 Watson RoadSaint LouisMO63119-4415USBinghamStephanieEsse HealthPO Box 419052Saint LouisMO63141-9052US7419 Watson RoadSaint LouisMO63119-4415USFogartyMarkEsse HealthPO Box 419052Saint LouisMO63141-9052US7419 Watson RoadSaint LouisMO63119-4415USEsse Health Watson Primary Care9930 Watson RdSaint LouisMO63126-1827USDusekDavidEsse HealthPO Box 419052Saint LouisMO63141-9052US7419 Watson RoadSaint LouisMO63119-4415USBinghamStephanieEsse HealthPO Box 419052Saint LouisMO63141-9052US9930 Watson RoadSaint LouisMO63126-1827Excel Imaging7419 Watson RoadSaint LouisMO63119-4415USBinghamStephanieEsse HealthPO Box 419052Saint LouisMO63141-9052US7419 Watson RoadSaint LouisMO63119-4415USBinghamStephanieEsse HealthPO Box 419052Saint LouisMO63141-9052US7419 Watson RoadSaint LouisMO63119-4415USEsse Health Watson Primary Care7419 Watson RoadSaint LouisMO63119-4415USBinghamStephanieEsse HealthPO Box 419052Saint LouisMO63141-9052US7419 Watson RoadSaint LouisMO63119-4415USEsse Health Watson Primary Care7419 Watson RoadSaint LouisMO63119-4415USFogartyMarkEsse HealthPO Box 419052Saint LouisMO63141-9052US7419 Watson RoadSaint LouisMO63119-4415USFogartyMarkEsse HealthPO Box 419052Saint LouisMO63141-9052US7419 Watson RoadSaint LouisMO63119-4415USEsse Health Watson Primary Care7419 Watson RoadSaint LouisMO63119-4415USBinghamStephanieEsse HealthPO Box 419052Saint LouisMO63141-9052US7419 Watson RoadSaint LouisMO63119-4415USFogartyMarkEsse HealthPO Box 419052Saint LouisMO63141-9052US7419 Watson RoadSaint LouisMO63119-4415USEsse Health Watson Primary Care7419 Watson RoadSaint LouisMO63119-4415USBinghamStephanieEsse HealthPO Box 419052Saint LouisMO63141-9052US555 Maryville University DriveSte. 240Saint LouisMO63141-6362USCare Management7419 Watson RoadSaint LouisMO63119-4415USBinghamStephanieEsse HealthPO Box 419052Saint LouisMO63141-9052US7419 Watson RoadSaint LouisMO63119-4415USFogartyMarkEsse HealthPO Box 419052Saint LouisMO63141-9052US7419 Watson RoadSaint LouisMO63119-4415USEsse Health Watson Primary Care7419 Watson RoadSaint LouisMO63119-4415USFogartyMarkEsse HealthPO Box 419052Saint LouisMO63141-9052US7419 Watson RoadSaint LouisMO63119-4415USFogartyMarkEsse HealthPO Box 419052Saint LouisMO63141-9052US7419 Watson RoadSaint LouisMO63119-4415USEsse Health Watson Primary Care
Family History
Family MemberTypeDiagnosisAge At Onset
No Information
Immunizations
VaccineDateStatusComments
Fluzone Trivalent, split virus, 0.25mL dosageSep-28-2024administeredSource: Other Registry
Moderna (Bivalent Booster) COVID Vac, 50mgc/0.5 mL, 18+ yearsNov-12-2023administeredNote: CVS ; Source: Other Registry
Fluzone Quad, preservative free, split virus, 0.5mL dosageSep-06-2023administeredNote: CVS ; Source: Other Registry
Moderna (Bivalent Booster) COVID Vac, 50mgc/0.5 mL, 18+ yearsOct-10-2022administeredNote: CVS ; Source: Other Registry
Moderna (Bivalent Booster) COVID Vac, 50mgc/0.5 mL, 18+ yearsNov-19-2021administeredNote: CVS ; Source: Other Registry
Moderna (Bivalent Booster) COVID Vac, 50mgc/0.5 mL, 18+ yearsApr-25-2021administeredNote: Walmart ; Source: Other Registry
Moderna (Bivalent Booster) COVID Vac, 50mgc/0.5 mL, 18+ yearsMar-25-2021administeredNote: Walmart ; Source: Other Registry
TdapMay-25-2019administeredNote: SSM St. Mary's ; Source: Other Registry
meningococcal B, recombinant, 2 or 3 dose scheduleJul-12-2016administeredSource: Source Unspecified
meningococcal B, recombinant, 2 or 3 dose scheduleJun-10-2016administeredSource: Source Unspecified
meningococcal MCV4PJun-08-2015administeredNote: Mercy ; Source: Other Registry
Payers
Payer nameInsurance typeIdentifiersAuthorization(s)Comments
No Information
Social History
TypeDescriptionQuantityDate CapturedComments
Alcohol Use Detailsbeer & wineMar-17-2026
Caffeine Use DetailsNoMar-17-2026
Tobacco Use StatusCurrent non-smokerMar-17-2026
Smoking StatusNever smokerMar-17-2026
Non-Smoking Tobacco Use Details: No Details Available
: No Details Available
Mar-17-2026
Birth SexMale
Sexual OrientationDon't Know
Gender IdentityMaleJul-12-2023
Current GenderMale (finding)Sep-29-2025
beer & wine monthly: No Details Available Quantity Details - : No Details Available
Vital Signs
Date / Time:HeightWeightBMIPulse RateBlood PressureTemperatureRespiratory RateBody Surface AreaHead CircumferenceHead Circ. PercentileWt./Len. PercentileBMI percentilePulse OxInhaled Ox
Mar-17-2026 11:56 AM73.00 in63.049 kg (139.00 lbs)18.34 kg/meter(2)67 /min128/74 mm[Hg]97.30 F1.80 meter(2)98 %
Chief Complaint And Reason For Visit*** From encounter dated '03/17/2026 10:48'. ***acute problem (chief complaint). Description: Chief complaint: bilateral eye swelling. Here today with complaints of bilateral eye swelling. Symptoms started 2 weeks ago. Seems to be worsening. Started on left then spread to right eye. no itching. no drainage or discharge. not crusted shut. Doing anti inflammatory eye drops. no vision changes. Denies any fever or chills. no headache or dizziness. Denies any runny nose, sore throat, or cough. Denies any chest pain, SOB. no nausea, vomiting, or diarrhea. no change in products. no contacts.
Reason For Referral
Reason For ReferralReferral TypeIndication
No Information
Plan Of Treatment
DateTypeActionStatus
Sep-16-2025ReferralReferred To:
9930 Watson Road
Saint Louis, MO, 631261827
3149848827
Ordered:
Ultrasound of scrotum and both testicles
ordered
Oct-15-2024ReferralReferred To:
9930 Watson Road
Saint Louis, MO, 631261827
3149848827
Ordered:
XR knee left, 3 views including standing and Merchant views
ordered
Apr-03-2024Referral Ordered:
Attended sleep study
ordered
Mar-05-2024ReferralReferred To:
10820 Sunset Office Dr
Ste 130
Saint Louis, MO, 63127
8779339470
Ordered:
Unattended home sleep test with type 3 monitor
ordered
Nov-28-2023Referral Ordered:
Community and Long-Term Care Psychiatry (related to Generalized anxiety disorder)
ordered
Nov-28-2023ReferralReferred To:
3145255050
Ordered:
Referrals: Counseling/mental health services. Location: Community and Long-Term Care Psychiatry. Evaluate and treat - Level 2
ordered
History Of Present Illness
Encounter DateComplaintHistory Of Present Illness
Mar-17-2026acute problemChief complaint: bilateral eye swelling. Here today with complaints of bilateral eye swelling. Symptoms started 2 weeks ago. Seems to be worsening. Started on left then spread to right eye. no itching. no drainage or discharge. not crusted shut. Doing anti inflammatory eye drops. no vision changes. Denies any fever or chills. no headache or dizziness. Denies any runny nose, sore throat, or cough. Denies any chest pain, SOB. no nausea, vomiting, or diarrhea. no change in products. no contacts.
Sep-16-2025GeneralSpot on chest got better on chest and did not need mupirocin. Noticed a lump on L testicle 5 days ago posteriorly. Swelling comes and goes and gets pain when swollen and has a tenderness as well. No blood in urine/dysuria. No sexual activity now or in past. No bowel issues. No abd pain.
Aug-27-2025acute problemChief complaint: abscess on chest. Here today with complaints of abscess on chest. Symptoms started 3 days ago. noticed a lump on skin. Slight enlargement. Redness. no pain. Denies any numbness/tingling. no itching. no drainage. Denies any fever or chills. no headache or dizziness. Denies any chest pain, SOb. no nausea, vomiting, or diarrhea. no change in products. no recent bug or tick bites. Tried antibiotic cream for symptoms.
Mar-10-2025GeneralMole on head that he wants checked Not sure how long he's had it. Cut hair off and now visible. Waiting for Endocrine appt. Taking Naltrexone low dose for eye related nerve pain from Ophtho. Has a right sided headache.
Dec-20-2024Chronic Conditions*See Chronic Conditions HPI
Dec-20-2024chronic conditions*See Chronic Conditions HPI
Dec-20-2024acute problemChief complaint: discuss labs. Here today to discuss labs. Had labs done with function health. Had thyroglobulin antibody of 174. TPO 7. TSH 2.17, T3 3.4, T4 1.2. Has some cold intolerance. Feels like hands feel like ice. Has noticed shivering when hot. no heat intolerance. no fatigue. no constipation. no hair loss. no unexplained weight gain or loss. Dry skin at times. no joint pain or muscle aches. no rashes. no family history of thyroid issues. Denies any fever or chills. no dizziness. Headache but has not changed or worsened. Denies any chest pain, SOB. n o nausea, vomiting, or diarrhea. normal bowel movements or urination. no blood in urine. no blood in stool or black stools.
Oct-15-2024acute problemChief complaint: left knee pain. Here today with complaints of left knee pain. Was doing lateral step ups yesterday and started with pain. Did not hear or feel any popping. Aching pain. Throbbing pain. Hard to bear weight. no swelling, redness, or bruising. Numbness and tinging. RAdiates down shin. Denies any fever or chills. no headache or dizziness. no nausea, vomiting, or diarrhea. no chest pain ,SOB. Worsens with walking. Tried ice and compression for symptoms.
Mar-05-2024chronic conditions*See Chronic Conditions HPI
Dec-06-2023acute problemChief complaint: eye lid redness, flaking, and dry skin. Here today for redness and flaking to both eyes. Previously treated for conjunctivitis 2 weeks ago. Drainage from eyes improved. Flaking, redness around eye lids. no itching. no further drainage. Denies any fever or chills. no vision changes. no headache or dizziness. Denies any runny nose, sore throat, or cough. Denies any chest pain, SOB. no nausea, vomiting, or diarrhea. no change in products. Tried eye drops and lotion for symptoms.
Nov-22-2023acute problemChief complaint: possible pink eye. Here today with possible pink eye. Started 2 weeks ago. In both eyes. no vision changes. Redness. Crusting in morning. Drainage and discharge. no itching. no gritty feeling. Denies any fever or chills. no injury or trauma. no contact use. Denies any headache or dizziness. Denies any runny nose, sore throat, or cough. Denies any chest pain, SOB. no nausea, vomiting, or diarrhea. no contacts with similar symptoms.
Jul-12-2023chronic conditions*See Chronic Conditions HPI
Jul-12-2023Chronic Conditions*See Chronic Conditions HPI
Functional Status
DateDescriptionComments
No Information
Medications Administered
MedicationInstructionsDosageDose QuantityEffective Dates (start - stop)StatusIndicationFill StatusComments
No Information
Instructions
DateInstructionAdditional Information
Mar-17-2026Keep clean and dry Wash area with baby shampoo Cool compresses Aquaphor twice a day Daily Allegra or ZyrtecRelated to Allergic dermatitis of left lower eyelid
Mar-17-2026Keep clean and dry Wash area with baby shampoo Cool compresses Aquaphor twice a day Daily Allegra or ZyrtecRelated to Allergic dermatitis of right lower eyelid
Mar-17-2026Keep clean and dry Wash area with baby shampoo Cool compresses Aquaphor twice a day Daily Allegra or ZyrtecRelated to Allergic dermatitis of right upper eyelid
Mar-17-2026Keep clean and dry Wash area with baby shampoo Cool compresses Aquaphor twice a day Daily Allegra or ZyrtecRelated to Allergic dermatitis of left upper eyelid
Sep-16-2025Apply cool packs Elevate scrotum with underwear. Is symptoms aren't better in 5 days, get an ultrasound at Excel Imaging. Call if symptoms worsen or persist or with fever/chills Related to Scrotal pain
Aug-27-2025Start Mupirocin apply three times a day x 2 weeks Keep area clean and dry Clean with warm soap and water Warm compresses for 10-15 minutes every 2 hours while awake Keep covered if draining, otherwise can leave open to air Call office for any fever, chills, increase in redness, swelling, drainage, or painRelated to Local infection of the skin and subcutaneous tissue, unspecified
Aug-27-2025Start Mupirocin apply three times a day x 2 weeks Keep area clean and dry Clean with warm soap and water Warm compresses for 10-15 minutes every 2 hours while awake Keep covered if draining, otherwise can leave open to air Call office for any fever, chills, increase in redness, swelling, drainage, or painRelated to Infected cyst of skin
Mar-10-2025See Endocrinology about lab tests. Related to Abnormal thyroid blood test
Mar-10-2025If you are doing poorly, CALL US FIRST before you go to ER or Urgent Care unless your condition is life threatening. We can usually get you in the same day or the next day. You can reach us 24/7 by calling the office number. Check on HPV/Gardisil vaccine If you have not had 3 shots, call here to get this arranged You would get shot number 2 and then 4 months later get shot #3. Spots on scalp look OK Call if anything new arise or they get larger. Related to Encounter for general adult medical examination without abnormal findings
Dec-20-2024See endocrinology BHARATHI RAJU MD 12900 TESSON FERRY RD STE 101 ST LOUIS 63128 P: (314) 843-4848 LAMICE EL-KHOLY MD 1035 BELLEVUE AVE STE 206 ST LOUIS MO 63117 P: (314) 875-0380 K. GEORGE THAMPY MD 10004 KENNERLY RD STE 160B ST LOUIS 63128 P: (314) 842-1588 Related to Chronic autoimmune thyroiditis
Dec-20-2024Continue healthy lifestyle choices including daily exercise and diet low in saturated fats, refined carbohydrates If you are feeling ill or sick and it is not a medical emergency, please call our office first prior to going to ER or urgent care. We can often get you in same day or the next day. The exchange is available after hours and weekends at 314-400-3360.Related to Encounter for general adult medical examination without abnormal findings
Dec-20-2024Follow up with psychiatry Continue medication Daily exercise Daily meditation/yoga Call office for any racing or rapid heart rate, rapid weight loss or weight gain, loss of interest in doing activities with family or friends ER for any thoughts of hurting self or othersRelated to Generalized anxiety disorder
Oct-15-2024Tylenol 1 gram three times a day as needed for pain. Do not exceed more than 4 grams of Tylenol or acetaminophen in 1 day Ibuprofen every 6-8 hours as needed for pain. Take with food. Do not exceed more than 3 grams a day of any NSAID (Ibuprofen, Aleve, Naproxen, Motrin, Advil) Rest, ace wrap/knee brace, elevation Ice for 10-15 minutes every couple of hours while awake. Can alternate with heat Orthopedic referral: COLES L'HOMMEDIEU MD 12639 OLD TESSON ROAD STE 115 ST LOUIS 63128 P: (314) 849-0311Related to Injury of left knee, initial encounter
Mar-05-2024Come in for a blood test Call aheadRelated to Abnormal blood chemistry
Mar-05-2024Use Fluticasone/Flonase daily If symptoms worse or ear congestion does not improve call to discuss an ENT referral. STEVEN WEST MD 9701 LANDMARK PKWY DR STE 201 ST LOUIS 63127 P: (314) 843-3828 FREDERIC PUGLIANO MD 1001 SOUTH KIRKWOOD RD STE 320 KIRKWOOD MO 63122 P: (314) 965-9184 Related to Nasal congestion
Mar-05-2024Congratulations on completing your COVID vaccine and boosters. Call if you have any concerning symptoms.Related to Encounter for general adult medical examination without abnormal findings
Mar-05-2024Continue medication Followup with Psychiatry,. Related to Generalized anxiety disorder
Dec-06-2023Ketoconazole cream Can use hydrocortisone cream twice a day for no more than 2 weeks with itching Washing baby shampoo Call office for any worsening symptomsRelated to Seborrheic dermatitis
Nov-22-2023Polytrim 1 drop 4 times a day x 7 days warm compresses 10-15 minutes at a time every 2 hours while awake clean from in to out do not share wash clothes, face towels, pillow cases with others Good handwashing Call office for any worsening swelling, pain, vision changesRelated to Acute bacterial conjunctivitis of both eyes
Jul-12-2023Try daily exercise Try meditating daily Take Tylenol for pain. Related to Acute nonintractable headache, unspecified headache type
Jul-12-2023Work on quad strength OK to take Aleve twice daily with food as needed only Consider neoprene wrap if it bothers you moreRelated to Acute pain of left knee
Jul-12-2023Get a flu vaccine and COVID vaccine this Fall. Get regular exercise. Related to Encounter for general adult medical examination without abnormal findings
Jul-12-2023Our Care Management Department will contact you about getting in with a therapist and Psychiatrist. Call if you have difficulty getting seen by these doctors or if your mood worsens. Related to Generalized anxiety disorder
Assessments
TypeAssessmentDate
assessmentAllergic dermatitis of right upper eyelidMar-17-2026
assessmentAllergic dermatitis of right lower eyelidMar-17-2026
assessmentAllergic dermatitis of left upper eyelidMar-17-2026
assessmentAllergic dermatitis of left lower eyelidMar-17-2026
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