[doctor] hi logan , how are you ?
[patient] hi . good to see you .
[doctor] it's good to see you as well . so i know the nurse told you about dax . i'd like to tell dax a little bit about you . okay ?
[patient] sure .
[doctor] so logan is a 57-year-old male , with a past medical history significant for coronary artery bypass grafting , hyperlipidemia , and ocd , who presents with an upper respiratory infection . so , logan , what's going on ?
[patient] so , uh , about a week ago i started to get a cold . and , in the last two or three days , it seemed to move into my chest .
[doctor] okay . um , and , and are you having any pain in your sinuses ? or , any post nasal drip ?
[patient] um , i had some post nasal drip for , again , for the beginning of the week . and then , uh , it , it left my , uh , my head . it went right down to my upper , uh , chest .
[doctor] okay . and have you gotten vaccinated against covid ?
[patient] i actually have . i've , uh , gotten both vaccines .
[doctor] okay . all right .
[patient] on both , both stages .
[doctor] okay . and anyone else sick as far as you know ?
[patient] no , not in my house . no .
[doctor] okay . and have you had any fevers ?
[patient] uh , i thought i had a slight fever , but no .
[doctor] okay . and , um , any shortness of breath ?
[patient] no .
[doctor] okay . all right . um , so let's just talk a little bit about your high cholesterol . how are you doing with the diet ?
[patient] i've been pretty good for the most part . uh , we did a little bit of travel over the last week or so , so the diet was n't great . but , for the most part it's been good .
[doctor] okay , i , i know we have you on the , on the crestor 20 milligrams a day . you're doing okay with that , so tolerating it ? no muscle aches , anything like that ?
[patient] no muscle aches .
[doctor] okay . and i know you had the , uh , bypass grafting last year . you're doing okay ?
[patient] it's been great .
[doctor] no chest pain ?
[patient] other than the congestion , no chest pain .
[doctor] okay . all right . and you're able to exercise ?
[patient] yes .
[doctor] okay . before you got sick .
[patient] that's correct .
[patient] that's correct .
[doctor] okay . all right . well , let's go ahead , i want to do a quick physical exam . okay ?
[patient] you got it .
[doctor] hey dragon , show me the vital signs . so , here it ... your vital signs look great . your oxygenation is 96 % . so that's very good . okay ? uh , i'm just going to check out your heart and lungs , and i'll let you know what i find . okay ?
[patient] sure .
[doctor] okay . so on exam , you do have some cervical lymphadenopathy . and your lungs have bilateral ronchi in them , um , and some wheezing . so , what that means is , you know , you have a little infection . you probably have a little bit of a cold , and you have some lymph nodes that are swollen , and some congestion in your lungs , like you said . let's go ahead and take a look at some of your results . okay ?
[patient] mm-hmm .
[doctor] hey dragon , show me the lipid panel . so your cholesterol , for the most part , is really good . i think you're doing a good job . uh , i do n't think you have to make any changes right now . um , hey dragon , show me the covid test . turns out you're positive for ... for covid .
[doctor] so the results of your po- your covid test are positive .
[patient] okay .
[doctor] so , i know you were vaccinated . you probably have a , a , a very , um , low-level positivity . so let's talk about that . so for your first problem , uh , is your covid infection . and i think the vaccine has helped you . it seems to be very mild at this time . your oxygenation is really good . i want you to quarantine for t- for 10 days , so , uh , try to avoid your other household family members . okay ?
[patient] okay .
[doctor] and you're going to have to take off work . um , if your symptoms worsen , i want you to call me .
[patient] okay .
[doctor] it's just supportive management . uh , for your next problem , your high cholesterol , let's continue you on the crestor 20 milligrams a day , and continue to watch your ja- your , your diet and i- then i'll go ahead and order another lipid panel for six months . and , from a coronary artery bypass grafting standpoint , your coronary artery disease seems under control . you're exercising . you do n't have any chest pain . we'll do a stress test in six months as well .
[patient] okay .
[doctor] okay ? any questions ?
[patient] no questions .
[doctor] okay . it was good to see you .
[patient] same here .
[doctor] hey dragon , finalize the note .

Medical orders:
description: lipid panel six months
order_type: lab
reason: hyperlipidemia