Data Pharmacy
Resume:
QUINONES, MARK Admin Sex: Male DOB: **/*/****
Continuity of Care Document
Summarization of Episode Note 01/11/2023 to 01/11/2023 Source: BMG NEU MLK
Created: 01/18/2023
Demographics
Contact Information:
16101 WASHBURN PL, TAMPA, FL 336471136, USA
16101 WASHBURN PL, TAMPA, FL 336471136, USA
Tel: ***********@***.*** (Work)
Tel: 813-***-**** (Primary Home)
Tel: 813-***-**** (Mobile)
Email: ***********@***.***
Previous Address(es):
--
Marital Status: Legally Married
Religion: Christian
Race: White
Previous Name(s): --
Ethnic Group: Hispanic or Latino
Language: English
SSN: 5559
ID: URN:CERNER:IDENTITY-FEDERATION:REALM:A01CC5E9-1755-468C-B41C-495A18DEC39F- CH:PRINCIPAL:843NT4WW5HT4HB7G, 100126635, 209989, 1776648, 210-***-**** Care Team
Type Name
Represented
Organization
Address Phone
primary care
physician
Jain,
Sanjay K
-- (Work): 17512 Dona Michelle DrSte 5, Tampa, FL
33647-3265, USA
Tel: (813)586-
7600 (Work)
Relationships
No Data to Display
Document Details
Source Contact Info
2727 W DR MLK JR Blvd, Suite 700, Tampa, FL 33607-, USA Tel: 813-***-****
Author Contact Info
01/18/2023 4:31 PM
BMG NEU MLK
Recipient Contact Info
--
Healthcare Professionals
No Data to Display
IDs & Code Type Data
Document Type ID: 2.16.840.1.113883.1.3 : POCD_HD000040 Document Template ID: 2.16.840.1.113883.10.20.22.1.1 : --, 2.16.840.1.113883.10.20.22.1.1 : 2015-08-01, 2.16.840.1.113883.10.20.22.1.2 : 2015-08-01
Document ID: 2.16.840.1.113883.3.1106.5000.136.999362 : 90007061 Document Type Code: 2.16.840.1.113883.6.1, 34133-9 Document Language Code: en-US
Document Set ID: --
Document Version Number: --
Primary Encounter
Encounter Information
Registration Date: 01/11/2023
Discharge Date: 01/11/2023
Visit ID: --
Location Information
BMG NEU MLK
(Work): 2727 W DR MLK JR Blvd, Suite 700, Tampa, FL 33607-, USA Providers
Type Name Address Phone
Admitting Eliazer,
Raj M
(Work): 2727 W Dr Martin Luther King Jr BlvdSte 700, Tampa, FL 33607-6383, USA
Tel: (813)321-
1429 (Work)
Attending Eliazer,
Raj M
(Work): 2727 W Dr Martin Luther King Jr BlvdSte 700, Tampa, FL 33607-6383, USA
Tel: (813)321-
1429 (Work)
Referring Jain,
Sanjay K
(Work): 17512 Dona Michelle DrSte 5, Tampa, FL 33647-3265, USA Tel: (813)586- 7600 (Work)
Encounter
BayCare FIN 106********* Date(s): 1/11/23 - 1/11/23 BMG NEU MLK 2727 W DR MLK JR Blvd, Suite 700 Tampa, FL 33607- US 813-***-**** Encounter Diagnosis
Complex partial seizures evolving to generalized tonic-clonic seizures (Discharge Diagnosis) - 1/11/23 Attending Physician: Eliazer, Raj M MD
Admitting Physician: Eliazer, Raj M MD
Referring Physician: Jain, Sanjay K MD
Author: BMG NEU MLK
Last Modified: 01/12/2023 6:12 AM
Reason for Visit
NP EVAL FOR SLURRED SPEECH AND TRIMMERS OK PER DR.ELIAZER Allergies, Adverse Reactions, Alerts
No Known Allergies
Author: Denmark, Tasheria K, BMG FAM New TPA
Last Modified: 07/16/2021 6:05 PM
Assessment and Plan
Extracted from:
Title: EEG report Author: Eliazer, Raj M MD Date: 1/12/23 EEG report date of service 1/11/2022 at the office Patient name-Quinones, Mark
History-Patient is a 62-year-old male with an episode of speech arrest as well as right arm sensory symptoms and what seems to be clonic activity.
This is EEG is recorded utilizing 10–20 international Electrode placement with 18 channels. Report-
This is an awake, drowsy EEG. The waking background was composed of a sustained 9-9.5 Hz posterior dominant waveforms of moderate amplitude which attenuates symmetrically with eye opening. During drowsiness the waking activity becomes intermittent and is attenuated. Stage I sleep and deeper intensity nor stage II sleep is seen. There is rare to occasional polymorphic delta slowing over the left central parietal region with spike and slow-wave discharges. Activation procedures with photic stimulation did not produce additional abnormalities. Hyperventilation produced mild generalized slowing as a normal response. Impression-
This is an abnormal awake and drowsy EEG due to the presence of polymorphic slowing as well as spike and slow wave discharges over the left central parietal region phase reversing over C3 and P3 electrodes. This is potentially epileptogenic in nature. We are requesting a prolonged 72 hour ambulatory EEG to characterize these findings in a more thoroughly
Eliazer,
Raj M
BMG
NEU
MLK
01/12/2023 3:31 PM
Extracted from:
Title: Tremor * Author: Eliazer, Raj M MD Date: 1/11/23 Impression and Plan
Diagnosis
Complex partial seizures evolving to generalized tonic-clonic seizures (ICD10-CM G40.209, Discharge, Medical).
Plan: Request MRI the brain with and without contrast, EEG. Ativan when necessary. If EEG is negative we will proceed with a 72 hr ambulatory EEG. We will see the patient back in 2 months for follow-up, sooner if needed.
Orders
PowerOrders
Ambulatory E&M:
Office Consult, 99244 (Order): 01/11/2023 12:34 EST, Complex partial seizures evolving to generalized tonic-clonic seizures.
Eliazer,
Raj M
BMG
NEU
MLK
01/11/2023 5:34 PM
Future Appointments
Appointment Date: 01/27/2023 08:20:00 AM
Scheduled Provider: Jain, Sanjay K MD
Location: BMG FAM New TPA
Appointment Type: ESTABLISHED PATIENT ERS
Appointment Date: 03/27/2023 10:40:00 AM
Scheduled Provider: Eliazer, Raj M MD
Location: BMG NEU MLK
Appointment Type: ESTABLISHED PATIENT ERS
Immunizations
No data available for this section
Medications
levETIRAcetam (Keppra 1000 mg oral tablet)
Status: Ordered
Start Date: 1/12/23
1 tablet(s) By Mouth Twice a day. Refills: 1.
Ordering provider: Eliazer, Raj M MD
CVS/pharmacy #6007
6206 Commerce Palms Dr
Tampa, FL 336471506
Eliazer,
Raj M
BMG NEU
MLK
01/12/2023 3:22 PM
lisinopril (lisinopril 10 mg oral tablet)
Status: Ordered
Start Date: 12/3/20
TAKE ONE TABLET BY MOUTH ONE TIME DAILY.
Santos,
Jeanette
BUC NEW
TAMPA
12/3/2020 11:43 PM
cyclobenzaprine (cyclobenzaprine 10 mg oral tablet) Status: Completed
Start Date: 7/16/21
Stop Date: 8/18/21
1 tablet(s) By Mouth Twice a day as needed for pain/spasm. Refills: 0.
Ordering provider: Jain, Sanjay K MD
CVS/pharmacy #6007
6206 Commerce Palms Dr
Tampa, FL 336471506
Jain,
Sanjay K
BMG FAM
New TPA
08/18/2021 2:24 PM
cyclobenzaprine (Flexeril 10 mg oral tablet)
Status: Completed
Start Date: 8/18/21
Stop Date: 10/1/21
1 tablet(s) By Mouth Twice a day as needed. PAIN/SPASM.. Refills: 0.
Ordering provider: Jain, Sanjay K MD
CVS/pharmacy #6007
6206 Commerce Palms Dr
Tampa, FL 336471506
Jain,
Sanjay K
BMG FAM
New TPA
10/1/2021 2:03 PM
LORazepam (Ativan 2 mg oral tablet)
Status: Completed
Start Date: 1/11/23
Stop Date: 1/12/23
1 tablet(s) By Mouth every 4 hours as needed Seizure activity. Refills: 0.
Ordering provider: Eliazer, Raj M MD
CVS/pharmacy #6007
6206 Commerce Palms Dr
Tampa, FL 336471506
BMG NEU
MLK
01/12/2023 5:41 PM
methylPREDNISolone (MethylPREDNISolone Dose Pack 4 mg oral tablet)
Status: Completed
Start Date: 7/16/21
Stop Date: 7/22/21
1 packet(s) By Mouth as directed for 6 Day(s). as directed on package labeling. Refills: 0.
Ordering provider: Jain, Sanjay K MD
CVS/pharmacy #6007
6206 Commerce Palms Dr
Tampa, FL 336471506
BMG FAM
New TPA
07/22/2021 7:11 PM
cyclobenzaprine (Flexeril 10 mg oral tablet)
Status: Discontinued
Start Date: 10/1/21
Stop Date: 1/11/23
1 tablet(s) By Mouth Twice a day as needed. PAIN/SPASM.. Refills: 0.
Ordering provider: Eliazer, Raj M MD
CVS/pharmacy #6007
6206 Commerce Palms Dr
Tampa, FL 336471506
Eliazer,
Raj M
BMG FAM
New TPA
01/11/2023 5:43 PM
LORazepam (lorazePAM 1 mg oral tablet)
Status: Discontinued
Start Date: 7/16/21
Stop Date: 1/11/23
1 tablet(s) By Mouth once a day as needed Anxiety. Use 1 hour before MRI. Refills: 0.
Ordering provider: Eliazer, Raj M MD
CVS/pharmacy #6007
6206 Commerce Palms Dr
Tampa, FL 336471506
Eliazer,
Raj M
BMG FAM
New TPA
01/11/2023 5:43 PM
Problem List
Condition Confirmation Course
Effective
Dates
Status
Health
Status
Informant Author Last Modified
Cholelithiasis Confirmed Active Jain,
Sanjay K
BAYCARE
HEALTH
SYSTEM
07/22/2021 1:20 PM
BMI 37.0-37.9, adult Confirmed Active Paredes
Contreras,
Yocasta
BMG NEU
MLK
01/11/2023 4:47 PM
CKD (chronic kidney disease) stage 3,
GFR 30-59 ml/min
Confirmed Active Jain,
Sanjay K
BAYCARE
HEALTH
SYSTEM
07/30/2021 1:02 PM
Lumbar degenerative disc disease Confirmed Active Jain, Sanjay K
BAYCARE
HEALTH
SYSTEM
07/22/2021 1:20 PM
Diverticulosis Confirmed Active Jain,
Sanjay K
BAYCARE
HEALTH
SYSTEM
07/22/2021 1:20 PM
History of renal cell cancer Confirmed Active Jain, Sanjay K
BAYCARE
HEALTH
SYSTEM
07/30/2021 1:01 PM
Obese Confirmed Active BAYCARE
HEALTH
SYSTEM
07/16/2021 6:06 PM
Condition Confirmation Course
Effective
Dates
Status
Health
Status
Informant Author Last Modified
Procedures
No data available for this section
Results
No data available for this section
Vital Signs
1/11/23
Pulse Rate 71 bpm (Normal is 60-110 bpm) Paredes
Contreras,
Yocasta
BMG NEU
MLK
01/11/2023 4:47 PM
Mean Arterial
Pressure, Cuff
94 mmHg Paredes
Contreras,
Yocasta
BMG NEU
MLK
01/11/2023 4:47 PM
Blood Pressure 124/79 mmHg (Normal is 90-120/60-90 mmHg) Paredes Contreras,
Yocasta
BMG NEU
MLK
01/11/2023 4:47 PM
Weight, Actual kg 129.274 kg Paredes
Contreras,
Yocasta
BMG NEU
MLK
01/11/2023 4:47 PM
Weight, Actual lbs 285 lb Paredes
Contreras,
Yocasta
BMG NEU
MLK
01/11/2023 4:47 PM
Weight, Pounds
with Ounces
285 lb Paredes
Contreras,
Yocasta
BMG NEU
MLK
01/11/2023 4:47 PM
Weight, Ounces
with Pounds
0 oz Paredes
Contreras,
Yocasta
BMG NEU
MLK
01/11/2023 4:47 PM
Measured Weight Yes Paredes
Contreras,
Yocasta
BMG NEU
MLK
01/11/2023 4:47 PM
Height cm 185.42 cm Paredes
Contreras,
Yocasta
BMG NEU
MLK
01/11/2023 4:47 PM
EHUM
Responses
Feet/Inches Paredes
Contreras,
Yocasta
BMG NEU
MLK
01/11/2023 4:47 PM
Height Feet with
Inches
6 ft Paredes
Contreras,
Yocasta
BMG NEU
MLK
01/11/2023 4:47 PM
Height Inches
with Feet
1 inch(es) Paredes
Contreras,
Yocasta
BMG NEU
MLK
01/11/2023 4:47 PM
Height Inches 73 inch(es) Paredes
Contreras,
Yocasta
BMG NEU
MLK
01/11/2023 4:47 PM
Body Surface
Area
2.5804 Paredes
Contreras,
Yocasta
BMG NEU
MLK
01/11/2023 4:47 PM
Body Mass Index
(BMI)
37.6 kg/m2 Paredes
Contreras,
Yocasta
BMG NEU
MLK
01/11/2023 4:47 PM
Ideal Body
Weight
Calculated
79.9 kg Paredes
Contreras,
Yocasta
BMG NEU
MLK
01/11/2023 4:47 PM
Social History
Social History Type Response Author Last Modified
Smoking Status Never a smoker
Birth Sex Male BAYCARE
HEALTH
SYSTEM
01/16/2023 2:26 PM
Goals
No data available for this section
Hospital Discharge Instructions
No data available for this section
Reason for Referral
No data available for this section
Health Concerns
No data available for this section
Implantable Device List
No data available for this section
Clinical Note
No data available for this section
Patient Care team information
Care Team Personnel
Author: BAYCARE HEALTH SYSTEM
Last Modified: 07/30/2021 12:15 PM
Name: Jain, Sanjay K MD
Position: Physician - PCP
Member Role: PCP Lifetime
Address:
Address: 17512 Dona Michelle Dr
Ste 5
Tampa, FL 33647-3265 US
Author: BAYCARE HEALTH SYSTEM
Last Modified: 07/30/2021 12:15 PM
Contact this candidate