Doctor: Good morning. So, you are here for your follow up today. 
Patient: Yes, sir. 
Doctor: Update me what happened, why were you in the hospital? 
Patient: I had a lot of back pain and less of urine output. I always had burning sensation whenever I used to go to the bathroom. So, I went to the doctor, and they said it is kidney stones. I knew something was wrong, but then I started having fever. So, I went to the hospital and they said that it was infection. It all began with my kidney stones. 
Doctor: I see. So how are you feeling now? 
Patient: I'm feeling better. The burning sensation is gone. Pain has subsided. 
Doctor: It says that they put a stent in your ureter. Are you feeling any discomfort with it? Who was your doctor there? 
Patient: No discomfort, I'm just here for my follow up. Doctor X Y Z did operate on me to remove all those stones, the kidney stones. She is a good doctor. She did take care of me. I feel all new now. 
Doctor: That's nice to hear. I'm glad you are feeling okay. You remember I wrote down all the medications with their doses on your progress note, a sheet that we gave to you. Your nephew called me and he said that the prescription was lost and instructions were lost. What happened there? 
Patient: I don't know. I remember you gave me a paper saying it has all the medicines. It's everything related to them and all the things that I have to do. But I don't know what happened between the hospital and the home. I completely lost it. And I don't know where did it go. 
Doctor: It had instructions to follow up here and also to follow up with Doctor F. Do you have an appointment with Doctor F? You never did call me after the day you were dismissed from the hospital saying that you might have lost the paper that we gave to you. 
Patient: No, unfortunately I don't have any appointment with Doctor F. I was not even aware about that, that I have to take an appointment because maybe it was only there in the paper. It completely got out of my mind. Somehow, I did find the prescription paper where all the medicines were and I was able to get them filled and I was taking all my antibiotics and everything else which was there. 
Doctor: I think it was Levaquin. Do you have any more to take? 
Patient: I do have one more to take. 
Doctor: So, when are you seeing Doctor X Y Z? 
Patient: Do I have to see her? I haven't set up anything. 
Doctor: You do. Any other issues? 
Patient: Yeah, I'm not still feeling very well. I still feel that I'm sick or something like that. It's just that I didn't get my whole self back. You said I got a stent. I have no idea. I don't feel like having one. 
Doctor: Are you the husband? 
Guest_family: Yes, I am. I just wanted to be here with her today. 
Doctor: That's good. Okay, let me explain it to both of you once again. See, she got a ureteral stent. It means that the doctors there, they have made a pathway for the urine to flow around the kidney stone without blocking anything. So, it is to help her overall. She needs to take her medicines and make her appointment with Doctor F. Also, she does need to see if Doctor X Y Z needs a follow up. You can call them and ask. Other than that, everything seems fine. 
Patient: Yep. I will make those appointments. Thank you for your guidance. 
Doctor: Take care.

Clinical note:
Symptoms: Feeling better, burning sensation gone, pain subsided, still feeling somewhat sick
Diagnosis: Nephrolithiasis, sepsis, ureteral stent placement, lithotripsy
History of Complaint: Recent hospitalization for sepsis from nephrolithiasis, ureteral stent placement and lithotripsy performed by Dr. XYZ, lost instructions and prescriptions post-discharge, nephew called regarding lost prescriptions, patient found prescriptions and filled them, currently taking Levaquin with one more dose remaining, no follow-up appointment with Dr. F scheduled, patient unaware of ureteral stent
Plan of Action: Continue antibiotic treatment, make follow-up appointments with Dr. F and Dr. XYZ, educate patient on the purpose of ureteral stent and follow-up care