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# © U m Correctional Managed Care PROVIDER CHRONIC CLINIC NOTE Individualized Treatment Plan PatientName: GREEN, MARCUS TDCJ#: 1118?^iiPatel2/12/2014 12:34 Facility: NEAL (KN) Age: 46 year Race: B Sex: male Most recentvitalsfrom 9/2/2014: BP: 106/71 (Sitting); Wt: 158 Lbs.; Height: 68 In.; Pulse: 70 (Sitting); Resp: 20 / min; Temp: 97.8 (Oral) BMI: 24 CURRENTPEAK FLOWS: PF1:; PF 2: ; PF 3: PRIOR PEAK FLOWS: PF1 : ; PF 2: ; PF 3: DOI: 9/13/2002 Allergies: NO KNOWN ALLERGIES Patient Language: ENGLISH Name ofinterpreter, ifrequired: CURRENT MEDICATION:

ATORVASTATIN 10MG TABLET 1 TABS ORAL DAILY for 30 Days KOP ORDERING FACILITY: NEAL (KN) ORDERING PROVIDER': BASSE, DAVID R LAST DATE GIVEN KOP: 10/07/2014 10:14:11 REFILLS: 8/11 EXPIRATION DATE: 3/29/2015 01:01:00PM
Chronic Clinic (select a 1applicable): Asthma/COPD CAD CHF ESLD Active Hepatitis B HCV HIV HTN Hyperlipidemia IDDM NIDDM Active TB Seizure Close Monitoring Miscellaneous: % TDCJ Regular. HSM-82 signed 10/08/10for DFH % COMPLIANCE: Medication: Diet: Exercise: SUBJECTIVE: PatientNO SHOWEDfor today's CCC appointment. EMR reviewed, patient last seen in CCC on 10/28/13 by this Provider. He also NO SHOWED his CCC appt. on 11/10/14.
OBJECTIVE: block, Abnormal ECG. 02/14/13 ECG: NSR w/sinus arrhythmia, Incomplete RBBB, leftanteriorfascicular 03/24/14 UA: WNL; CMP: WNL; Lipids: LDL 100H; TSH 1.870 03/19/13 UA; WNL; CBC: WNL; CMP: Sodium 146H; Lipids: LDL 104H; TSH 1.510 03/30/12 CXR 1V: Normal examination. Pulmonary Heart Lung fields clearto auscultation RRR without murmur orgallop PMI nl placement and magnitude Extremities No clubbing cyanosis or edema Abdomen Nl bowel sounds in all 4 quadrants Soft, non-tenderto palpation Vascular Upperexts intact Carotids intact w/o bruit '8A.<i/-A 

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