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Metabolic Test
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Blood Draw
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Medical Assistant
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Labs
• • •
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Non Alcoholic Fatty Liver Disease
|
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ALT
|
AST
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Assessment
• • •
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Comments
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GERD
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Medication
|
Comments
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PCOS
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Medication
|
Comments
|
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OSA
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Treatment
|
Comments
|
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Insomnia
|
Comments
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Treatment
• • •
|
Comments
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Metabolic Syndrome
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Assesement Comment
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Met S Criteria
• • •
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Met S Education
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Treatment Plan
• • •
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Plan Comment
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Low HDL
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Assesement Comment
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HDL Education
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Treatment Plan
• • •
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Plan Comment
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Pre-Diabetes
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Starting A1c
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Most Recent A1c
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Post VLCD
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Pre-DM Education
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Treatment Plan
• • •
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Plan Comment
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Plan Comment
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HTN
|
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Assesement Comment
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HTN education
|
Pre- HTN education
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Treatment Plan
• • •
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Plan Comment
|
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Plan Comment
|
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Hypercholesterolemia
|
assessment pending on lab results
• • •
|
|
LDL value
|
Medication
|
|
Plan
• • •
|
Comments
|
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Hyperglyceridemia
|
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TG value
|
Comments
|
|
Plan
• • •
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|
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Diabetes
|
|
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Starting HgA1C
|
Most recent HgA1C
|
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Post VLCD HgA1C
|
|
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Assesement Comment
|
|
|
Diabetes education
|
|
|
Treatment Plan
• • •
|
|
|
Plan Comment
|
|
|
Plan Comment
|
|
|
Snoring
|
|
|
Treatment Plan
• • •
|
Comments
|
|
Obesity
|
|
|
Starting BMI
|
Starting WC
|
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Starting PBF
|
Starting SMM
|
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Current BMI, WC, PBF
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|
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Current BMI
|
Current WC
|
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Current PBF
|
Current SMM
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Stage
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Complications:
• • •
|
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Drivers
• • •
|
Comment
|
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Advised
• • •
|
IBT for Obesity
|
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Readiness
|
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Goals:
|
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Goals
• • •
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Program
• • •
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Comments
|
|
Medication
• • •
|
Comment
|
|
Risks and Benefits
• • •
|
EKG
• • •
|
|
Plan
|
|
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Plan Comment
|
|
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Maintenance
|
Comments
|
|
Post VLCD
|
Results
• • •
|
|
Other Medical Condition
|
|
|
BED
|
|
|
Comments
|
Treatment
• • •
|
|
Depression
|
|
|
Comments
|
|
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Elevated BP
|
|
|
Value
|
Comments
|
|
Monitor
|
|
|
Elevated CRP
|
|
|
Value
|
|
|
Risks
• • •
|
|
|
Treatment
• • •
|
|
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Elevated Insulin
|
|
|
Value
|
Treatment
• • •
|
|
Omega-3 low
|
|
|
Comments
|
Treatment
• • •
|
|
Vitamin D Deficiency
|
|
|
Comments
|
Treatment
• • •
|
|
Asthma
|
|
|
Asthma Meds
|
Comments
|
|
Migraines
|
|
|
Treatment
• • •
|
Comments
|
|
Fatigue
|
|
|
Treatment
• • •
|
Comments
|
|
Other
|
|
|
Medical Condition 1
|
Comments
|
|
Medical Condition 2
|
Comments
|
|
Medical Condition 3
|
Comments
|
|
Length of visit
|
This was a 1 hour visit
• • •
|
|
Comments
|
education
|
|
Labs
• • •
|
Comments
|
|
Follow up
• • •
|
Comments
|
|
|
Mobile/Scale/BP Onboarding
|
