Marcus Fowler


 
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 LADNER, James DOB: 1999 Jun 30 (72 yo M) Acc No. 204963 DOS: 2020 Nov 21
 
 Current Medications 
 Taking 
 ibuprofen 1 tab Oral 
 Tylenol 1 tab Oral 
 Gabapentin 300 MG Capsule 1 capsule Orally Once a day 
 metFORMIN HCI 500 MG Tablet 1 tablet with a meal Orally Once a day 
  
 Past Medical History 
 Diabetes 
 Surgical History 
 Unremarkable 
 Family History 
 Father: deceased 
 Mother: deceased 
 3 daughter(s) 
 Social History 
 Tobacco Use: 
 Tobacco Use/Smoking 
 Are you a nonsmoker 
 Drugs/Alcohol: 
 OPIOID Risk Tool (2018 Edition) 
 Family Hx Alcohol? Yes 
 Family Hx Illegal Drugs? No 
 Family Hx Rx Drugs? No 
 Personal Hx Alcohol? No 
 Personal Hx Illegal Drugs? No 
 Personal Hx Rx Drugs? No 
 Age between 16-45 years? No 
 ADD, OCD, Bipolar, Schizophrenia? No 
 Depression? No 
 TOTAL SCORE 3 
 Risk Level for Opioid Use low 
 Miscellaneous: 
 Occupation: Retired. 
 Progress Note: Donald D Dietze, Jr MD 2017 Sep 18
 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) 
 hhttps://ladlssapp.ecwcloud.com/mobiledoc/jsp/catalog/xml/printMultipleChartOptions.jsp?e. 2017 Sep 18
