[doctor] morning roy , how are you doing ?
[patient] hey , good to see you .
[doctor] so , my nurse told you a little bit about dax ? so , if you do n't mind , i'm going to tell dax a little bit about you today .
[patient] perfect .
[doctor] great , great . so , roy is a 50-year-old male patient who comes in with a history of depression , you had some , um , high blood pressure and some hypertension .
[doctor] so , tell me how have you been doing?
[patient] sure . so it's been a , a pretty stressful winter and spring . and , uh , we've been onboarding a couple new employees and we have been pretty short-staffed in the meantime .
[doctor] um , any changes in , um , weight gain or anything like that ?
[patient] probably for the last month or so , we've been hosting some friends over vacation , and on ... you know , at the beach in the summer , so the diet is off the charts .
[doctor] okay . okay . gotcha , gotcha .
[patient] out the window .
[doctor] out the window . okay . and , um , now i know you've had a history of depression . you're on zoloft , uh , 50 milligrams a day . have you been doing okay with that ?
[patient] uh , for the most part . again , it's been kind of a challenging year-and-a-half or so .
[doctor] sure .
[patient] so i have my bouts . but i- it- it's under control .
[doctor] okay . uh , sleeping okay at night ?
[patient] mm-
[doctor] occasionally ?
[patient] i , i could use more sleep like everybody .
[doctor] okay .
[patient] but, uh, i'll, i'll usually wake up at about 5:00 in the morning .
[doctor] okay .
[patient] which is a little early .
[doctor] uh , no feelings of , uh , you want to hurt yourself or anybody ?
[patient] no , no .
[doctor] okay , good , good . and , um , your high blood pressure , um , that's been under relatively good control recently . have you found that ? your blood pressures have been okay ?
[patient] yes . that's why this is a little concerning to me , because of the , uh , recent , the recent readings .
[doctor] okay , gotcha . gotcha . okay . so , um , if you do n't mind , i'm going to do a quick exam . okay ?
[patient] sure .
[doctor] okay . so , um , on my physical exam , your lungs are clear . your heart is , is regular . you do have a grade two systolic ejection murmur . we've had that before , so nothing new-
[patient] mm-hmm .
[doctor] . there . um , and not clinically relevant at all . um , your extremities are normal , no edema . um , you have put on a c- a , a little bit of weight .
[patient] okay .
[doctor] i want you to get back on that diet .
[patient] okay .
[doctor] because that's the key . right ?
[patient] okay .
[doctor] as far as your high blood pressure , not going to change anything there . okay ? we'll just leave you on your lisinopril 5 milligrams a day , that's good .
[patient] okay .
[doctor] that's also good for your kidneys , so everything , everything good ... is good there . your third problem is your depression . been a rough year . some of that's just normal reactive stuff . so i think we'll just keep you where you are at . not going to change the zoloft . do you need a refill on your zoloft ?
[patient] uh , actually i do .
[doctor] okay . hey dragon , order a zoloft 50 milligrams daily . we'll get that refilled for you . okay ? so , um , i'd like to see you back in about a month , an- and then in about , uh , three months
[doctor] okay .
[patient] a1c , if everything's getting back on track . okay ? anything else i can do for you today ?
[doctor] no . that should do it .
[patient] okay . come with me , we'll get you checked out . hey dragon , finalize the note .

Medical orders:
description: zoloft 50 milligrams a day
order_type: medication
reason: history of depression
description: see you back about a month three months
order_type: followup
description: see you back
order_type: followup