[doctor] hey , ms. james . nice to meet you .
[patient] nice to meet you , dr. cooper . how are you ?
[doctor] i'm well . hey , dragon , i'm seeing ms. james . she's a 42-year-old female , and what brings you in today ?
[patient] i hurt my , uh , finger when i was skiing this past weekend .
[doctor] really ?
[patient] yeah . yeah , so , um , i was going down hill , double diamonds , uh , double black diamonds , and i just lost control , and i , you know , flipped down a few ways , but , uh , somewhere along the way , i , i jammed my , my index finger on something . i'm not sure what .
[doctor] okay . so this happened last saturday , you said ?
[patient] it was saturday , yes .
[doctor] okay . so about five days of this right index finger pain .
[patient] mm-hmm .
[doctor] have you taken any medicine for it ?
[patient] i took some ibuprofen . um , did n't really seem to help .
[doctor] okay . have you iced it or put a splint on it ?
[patient] no .
[doctor] okay . and what would you rate your pain ?
[patient] it's about a seven .
[doctor] a seven out of 10 pain . um , and no other injuries while you went down this double black diamond ?
[patient] no , interestingly enough , this is the only one .
[doctor] okay . well , i guess you escaped ... i mean ...
[patient] could have been much worse .
[doctor] could have been much worse , yes . so , um , do you have any medical problems ?
[patient] um ... yeah , i'm ... i have chronic constipation .
[doctor] do you take any medicine for it ?
[patient] miralax .
[doctor] and does that help ?
[patient] seems to flow nicely .
[doctor] good for you .
[doctor] um ... have you ever had any surgeries before ?
[patient] yes , i had my appendix out when i was seven .
[doctor] okay . um , let's look at your x-ray together . hey , dragon , show me the last x-ray . all right . so looking at your right hand here , and that index finger looks great . so all the joints , bones are in the right places , no fractures , so you've got a normal right hand x-ray . um , let's go ahead and check your finger out . now does it hurt when i push on your finger like this ?
[patient] yes .
[doctor] does it hurt when i pull your finger like this ?
[patient] yes .
[doctor] does it hurt when i squeeze over this joint here ?
[patient] yes . please do n't do that .
[doctor] does it hurt when i squeeze over this ?
[patient] yes .
[doctor] okay . um ... so with your x-ray , and with your exam , looks like you have a sprain of your distar- distal interphalangeal joint . it's called your dip joint , of your right index finger , and so what we're gon na do for that is we're gon na put a splint on that right finger . i'm gon na give you a strong antiinflammatory called mobic . you'll take 15 milligrams once a day . i'll prescribe 14 of those for you . and i want you to come back and see me in two weeks , and let's make sure it's all healed up and if we need to start any hand therapy at that point , then we can . do you have any questions for me ?
[patient] no questions . thank you .
[doctor] you're welcome . hey , dragon , order the medications and procedures mentioned . and why do n't you come with me , and we'll get you checked out ?
[patient] okay .
[doctor] hey , dragon , finalize the report .

Medical orders:
description: mobic 15 milligrams once a day 14
order_type: medication
reason: sprain of your distar- distal interphalangeal joint right index finger
description: come back in two weeks
order_type: followup