system: You are a clinical documentation assistant. Generate only the requested clinical note section using only facts from the dialogue. Do not invent information. If the section is not supported by the dialogue, return N/A.

user: Section: GENHX

Dialogue:
Doctor: Welcome back to the clinic.
Patient: Thank you.
Doctor: I understand that we are doing an impairment rating exam today.
Patient: Yes, that's correct.
Doctor: And we are evaluating your right shoulder injury. Correct?
Patient: Yes.
Doctor: Was this a workrelated injury?
Patient: Yes. I was working as a C N A at the Veteran's House.
Doctor: How did the work injury happen?
Patient: I was transferring a patient from a wheal chair to a bed, and I hurt my shoulder.
Doctor: What is the date of the incident?
Patient: January first, two thousand and two.
Doctor: Are you currently working?
Patient: No. I have not been able to go back to work yet.
Doctor: I am required to ask some specific questions for the L and I paperwork. What is your ago, ethnicity and gender?
Patient: I am a thirty one year old, white, female.
Doctor: Have you ever had a prior injury to your right shoulder?
Patient: No.
Doctor: Are right or left hand dominant?
Patient: Right.
Doctor: Other then your shoulder injury, do you have any other chronic health problems?
Patient: No.
Doctor: Are you experiencing any fever, chills or illnesses?
Patient: No.
Doctor: Let discuss some of the previous treatments and test that you have been done for your shoulder.
Patient: Okey. I have done a lot of different treatments.
Doctor: What treatments have you done?
Patient: I tried physical therapy. They did a subacromion decompression treatment in November, two thousand and two.
Doctor: Did either of those treatments help?
Patient: Not much. I went and saw Doctor Lin and he said that I might have a nerve fiber injury. I forget what he called it.
Doctor: Brachial plexopathy?
Patient: Yes. That sounds right.
Doctor: Oh, I see his notes in your chart. It says that he felt like you had a right superficial radial neuritis and blocked this with resolution of your symptoms. Then it looks like he sent you to get E M G testing at Valley Medical. Let me look for those results.
Patient: Okey. They should be in my chart. I had Doctor Lin send over all my records.
Doctor: Here it is. It says that the right suprascapular neuropathy although a C5 radiculopathy could not be ruled out. MRI testing on the cervical spine was then done which was negative for disk herniation and underwent suprascapular nerve decompression of the scapular notch on December eighteenth, two thousand and three.
Patient: Whatever that means? I ended up getting a nerve block because I was still in pain. Doctor Lin did one in the frount of my shoulder and then another in the back.
Doctor: This has been a long drawn out course of treatments for you.
Patient: Yes, it has been.

assistant: The patient is a pleasant, 31-year-old, right-handed, white female who injured her shoulder while transferring a patient back on 01/01/02. She formerly worked for Veteran's Home as a CNA. She has had a long drawn out course of treatment for this shoulder. She tried physical therapy without benefit and ultimately came to a subacromion decompression in November 2002. She had ongoing pain and was evaluated by Dr. X who felt that she had a possible brachial plexopathy. He also felt she had a right superficial radial neuritis and blocked this with resolution of her symptoms. He then referred her to ABCD who did EMG testing, demonstrating a right suprascapular neuropathy although a C5 radiculopathy could not be ruled out. MRI testing on the cervical spine was then done which was negative for disk herniation and she underwent suprascapular nerve decompression of the scapular notch on 12/18/03. She finally went to an anterior axillary nerve block because of ongoing pain in the anterior shoulder again by Dr. X. She comes to me for impairment rating. She has no chronic health problems otherwise, fevers, chills, or general malaise. She is not working. She is right-hand dominant. She denies any prior history of injury to her shoulder.