[doctor] all right . this is matthew rogers . date of birth 5/24/2007 . i would like to use the acne follow-up template for him . he is here today for an acne follow-up . at the last visit on 3/3/21 he was prescribed the following : clindamycin lotion , uh , trent- tretinoin cream , 4-5 % benzoyl peroxide wash for f-face and 5-10 % for chest and back . so we're going to enter the room :
[doctor] hi there , how are y'all today ?
[patient] good , how are you ?
[doctor] i'm good , thank you . uh , acne doing better ?
[patient] yeah .
[doctor] excellence , excellent . tell me , uh , what did you do for your skin this morning ?
[patient] i washed it with , uh , the benzoyl peroxide and i put the antibiotic thing , and the sunscreen moisture stuff as well .
[doctor] perfect . uh , what did you do last night ?
[patient] uh , i washed my face with the benzol peroxide , i put , uh , the tret-tret-tretinoin cream , sh-uh sorry i do n't know how to say that , uh , for nighttime and the sunscreen moisture stuff again .
[doctor] all right , all right , now have you had any redness , peeling , dryness , or irritation with the use of these medications at all ?
[patient] nope . not at all .
[doctor] excellent , excellent . and , uh , washing your chest and back with the higher strength benzoyl peroxide wash , is that right ?
[patient] uh , no . i did n't get it .
[doctor] okay . um , are your chest and back doing okay ?
[patient] um , i mean , i have n't put much effort into it because it has n't' really bothered me .
[doctor] fair enough . that's all right . um , if it bothers you , that's what , uh , that's why i recommended last time
[patient] okay .
[doctor] um , so as we move into the summer it may be something that you are more interested in pursuing doing that , uh , but if you feel like the acne on your face ... do you feel like the acne on your face is improving ?
[patient] yeah . definitely .
[doctor] all right , good . good . uh , go ahead and bring your mask down . yeah . yeah . yeah . yeah . that looks good !
[patient] yeah . it's okay .
[doctor] definitely . uh , this is one of the fun parts of covid for me . it's like the mask comes down for my acne patients and it's like a big reveal . this lo- this looks a lot better , like a lot better . uh , i'm just going to take a look at your back and chest real quick . um , i would n't recommend making any changes to what you're doing . uh , i'm happy with how things are going . are you- are you happy with how things are going ?
[patient] yeah .
[doctor] all right , yeah . if that little bit bothers you , i would use a 5-10 % benzoyl peroxide base . i think that ... i think that what i have using on your face is a 4-5 % . um , usually the back and chest can handle a little , uh , a little something stronger . um , that's the only thing i would think about changing , otherwise it think this looks great .
[patient] sounds good .
[doctor] all right , uh , do you have any questions for me ?
[patient] um , i do n't . i'm just going to write that down .
[doctor] uh , well you want me to write that down for you on your , uh , checkout sheet ?
[patient] uh , yeah . that'd be awesome .
[doctor] uh , the one i recommend for the chest and back is the , the PanOxyl 10 % . uh , we actually have samples of it and coupons . so i can send you home with those .
[patient] cool . that'd be perfect .
[doctor] all right , um , so i'm going ahead and tee up a one year prescription for you because at this point i'll want to see you once a year . i want to make sure that you have enough of your medicines , um , and these are going to walgreens on broad ?
[patient] uh , yeah .
[doctor] okay . um , all right . so the tretinoin , uh , usually lasts patients a couple of months . you probably have n't refilled that , right ?
[patient] uh , yeah , we did once , i think .
[doctor] okay . okay . so i'm going to go ahead and send in a new refill for the clindamycin with 11 refills . and then the tretinoin cream with three refills . uh , that's usually about enough for a year . uh , if you run out though , just let us know . i'm happy to send more . uh , i just need to see you back once a year for your medicine . all right ? your acne printout with steps will be at your checkout sheet . and then here are your samples and coupons .
[patient] alrighty , thank you .
[doctor] um , as far as the physical exam . scattered inflammatory papules and pustules across the upper back and posterior shoulders . there are less than 5 inflammatory papules on the forehead , cheeks , and chin . acne vulgaris is improved and well controlled on the face , but there is a mild flare on the back . recommend continuing current treatment plan for the face and initiation treatment with PanOxyl 10 % foaming wash to the back in the shower daily .

Medical orders:
description: back and chest 10 % PanOxyl foaming wash
order_type: medication
reason: acne vulgaris
description: see you a year
order_type: followup
reason: for your medicine acne vulgaris
description: tretinoin cream three
order_type: medication
reason: acne vulgaris
description: lotion clindamycin 11
order_type: medication
reason: acne vulgaris