[doctor] um , hi mrs. anderson . right ?
[patient] yeah . yes , doctor .
[doctor] what brings you here today ?
[patient] hi , doctor . um , i'm having this left shoulder pain lately , uh , and it's paining a lot .
[doctor] okay . all right . hey , dragon . i am seeing mrs. anderson , a 44-years-old female , uh , complaining to check the left shoulder pain . um , so how long how has this lasted ?
[patient] it's been a week , doctor . yeah .
[doctor] a week .
[patient] yeah .
[doctor] um , did you take any medication yourself ?
[patient] no , i did not take any pain medications . actually , i did . i did take a tylenol for two or three days , but then that did n't help at all . so , uh , the reason why it started or when it started to happen is-
[doctor] yeah .
[patient] . i was actually in gymnastics class .
[doctor] yeah , okay .
[patient] and , uh , i do n't know . maybe i must have toppled over into some weird position , so it started to pain since then , uh , because of a certain move .
[doctor] okay , uh-
[patient] i went overboard , i think . yeah .
[doctor] all right , lem me , uh , take a quick look . uh , can you move up a little bit ? yeah .
[patient] uh , yeah . in fact , that's hurts .
[doctor] does that- does it hurt ?
[patient] yeah , it does .
[doctor] what if you move back a little bit ?
[patient] uh , that also hurts , doctor .
[doctor] yeah , okay .
[patient] any kind of movement on my left shoulder actually hurts .
[doctor] okay . all right , um , so let's ... hey , dragon . show me the last x-ray . all right , from the x-ray , it does n't look like there is any , uh , broken bone or fracture . my guess is you probably , um , hurt your joint , uh-
[patient] uh- .
[doctor] . a little bit .
[patient] mm-hmm .
[doctor] so i would , uh , suggest you continue using the pain reliever , maybe just like 600 milligram of ibuprofen three times a day and use it for a week .
[patient] and for how long ? yes .
[doctor] for a week .
[patient] a week , okay .
[doctor] and then if you ... if it's still painful , you can use , uh , ice or , um , heat pad-
[patient] okay .
[doctor] . 'cause that might help relieve your pain .
[patient] okay .
[doctor] um ...
[patient] but i wanted you to know that i did have past surgery on my , um , left arm-
[doctor] mm-hmm .
[patient] . so , um , i hope that should n't matter , right ?
[doctor] um , that does n't seem related to your pain .
[patient] okay .
[doctor] so ... but i would try to rest my , your left arm-
[patient] okay .
[doctor] . while it's healing .
[patient] okay .
[doctor] so , um-
[patient] can i , uh , carry any heavy weights or-
[doctor] no , no . definitely not .
[patient] . anything like that ?
[doctor] definitely not .
[patient] okay . okay .
[doctor] yeah , use , um , right hand-
[patient] okay .
[doctor] . instead-
[patient] mm-hmm .
[doctor] . for the next , uh , at least just three to four weeks .
[patient] mm-hmm .
[doctor] uh , come back to see me if the pain , you know , still there after maybe three weeks-
[patient] sure .
[doctor] . so we can take a further look .
[patient] okay . sure .
[doctor] but you should be fine-
[patient] yeah .
[doctor] . after just resting and regular pain reliever .
[patient] okay . all right .
[doctor] um-
[patient] should we take another x-ray when i come back , if the pain does n't improve ?
[doctor] um , maybe . let's see how you're doing in the next three weeks .
[patient] uh .
[doctor] hey , dragon . um , order medications and procedures as discussed . all right .
[patient] okay .
[doctor] um , i think that's good for today . hope you feel better soon .
[patient] okay . thank you , doctor .
[doctor] yeah .
[patient] hopefully , the pain reliever , uh , ibuprofen actually helps .
[doctor] yeah .
[patient] yeah , and if i have more pain , can i call you ? can i fix up another appointment earlier than three weeks ?
[doctor] um , you can also try advil .
[patient] okay .
[doctor] yeah , so , um ...
[patient] yeah .
[doctor] ale- , aleve . i mean , aleve .
[patient] i see . okay , thank you , doctor .
[doctor] thank you .

Medical orders:
description: 600 milligram ibuprofen three times a day for a week
order_type: medication
reason: left shoulder pain
description: come back three weeks
order_type: followup
description: aleve
order_type: medication
reason: left shoulder pain