Kamilah Davis ============= Race: White Ethnicity: Non-Hispanic Gender: F Age: 50 Birth Date: 1972-07-14 Marital Status: S -------------------------------------------------------------------------------- ALLERGIES: No Known Allergies -------------------------------------------------------------------------------- MEDICATIONS: 2022-04-06[CURRENT] : Yaz 28 Day Pack 2022-04-01[CURRENT] : Acetaminophen 300 MG / Hydrocodone Bitartrate 5 MG Oral Tablet 2022-04-01[CURRENT] : tramadol hydrochloride 50 MG Oral Tablet 2022-04-01[CURRENT] : 72 HR Fentanyl 0.025 MG/HR Transdermal System 2021-03-26[STOPPED] : Acetaminophen 300 MG / Hydrocodone Bitartrate 5 MG Oral Tablet 2021-03-26[STOPPED] : tramadol hydrochloride 50 MG Oral Tablet 2021-03-26[STOPPED] : 72 HR Fentanyl 0.025 MG/HR Transdermal System 2020-03-20[STOPPED] : Acetaminophen 300 MG / Hydrocodone Bitartrate 5 MG Oral Tablet 2020-03-20[STOPPED] : tramadol hydrochloride 50 MG Oral Tablet 2020-03-20[STOPPED] : 72 HR Fentanyl 0.025 MG/HR Transdermal System 2019-03-15[STOPPED] : Acetaminophen 300 MG / Hydrocodone Bitartrate 5 MG Oral Tablet 2019-03-15[STOPPED] : tramadol hydrochloride 50 MG Oral Tablet 2019-03-15[STOPPED] : 72 HR Fentanyl 0.025 MG/HR Transdermal System 2018-04-27[STOPPED] : Yaz 28 Day Pack 2018-03-09[STOPPED] : Acetaminophen 300 MG / Hydrocodone Bitartrate 5 MG Oral Tablet 2018-03-09[STOPPED] : tramadol hydrochloride 50 MG Oral Tablet 2018-03-09[STOPPED] : 72 HR Fentanyl 0.025 MG/HR Transdermal System 2017-10-27[STOPPED] : Acetaminophen 300 MG / Hydrocodone Bitartrate 5 MG Oral Tablet 2017-10-27[STOPPED] : tramadol hydrochloride 50 MG Oral Tablet 2017-10-27[STOPPED] : 72 HR Fentanyl 0.025 MG/HR Transdermal System 2017-03-03[STOPPED] : Acetaminophen 300 MG / Hydrocodone Bitartrate 5 MG Oral Tablet 2017-03-03[STOPPED] : tramadol hydrochloride 50 MG Oral Tablet 2017-03-03[STOPPED] : 72 HR Fentanyl 0.025 MG/HR Transdermal System 2016-02-26[STOPPED] : Acetaminophen 300 MG / Hydrocodone Bitartrate 5 MG Oral Tablet 2016-02-26[STOPPED] : tramadol hydrochloride 50 MG Oral Tablet 2016-02-26[STOPPED] : 72 HR Fentanyl 0.025 MG/HR Transdermal System 2015-02-20[STOPPED] : Acetaminophen 300 MG / Hydrocodone Bitartrate 5 MG Oral Tablet 2015-02-20[STOPPED] : tramadol hydrochloride 50 MG Oral Tablet 2015-02-20[STOPPED] : 72 HR Fentanyl 0.025 MG/HR Transdermal System 2014-06-01[STOPPED] : tramadol hydrochloride 50 MG Oral Tablet 2014-04-02[STOPPED] : 72 HR Fentanyl 0.025 MG/HR Transdermal System 2014-02-14[STOPPED] : Acetaminophen 300 MG / Hydrocodone Bitartrate 5 MG Oral Tablet 2014-02-02[STOPPED] : Acetaminophen 300 MG / Hydrocodone Bitartrate 5 MG Oral Tablet -------------------------------------------------------------------------------- CONDITIONS: 2022-04-01 - : Reports of violence in the environment (finding) 2022-04-01 - : Full-time employment (finding) 2021-03-26 - 2022-04-01 : Part-time employment (finding) 2020-03-20 - 2022-04-01 : Limited social contact (finding) 2020-03-20 - 2021-03-26 : Full-time employment (finding) 2019-03-15 - 2020-03-20 : Full-time employment (finding) 2017-10-27 - : Severe anxiety (panic) (finding 2017-03-03 - 2017-10-27 : Full-time employment (finding) 2016-02-26 - 2022-04-01 : Stress (finding) 2015-02-20 - 2016-02-26 : Full-time employment (finding) 2014-02-02 - : Chronic neck pain (finding) 2012-07-20 - 2014-02-14 : Full-time employment (finding) 2011-06-03 - 2012-07-20 : Full-time employment (finding) 2009-10-02 - : Prediabetes 2007-03-16 - 2009-10-02 : Full-time employment (finding) 2006-09-29 - 2007-03-16 : Full-time employment (finding) 2000-09-22 - 2003-09-26 : Full-time employment (finding) 1994-09-16 - 1997-09-19 : Full-time employment (finding) 1991-09-13 - 1994-09-16 : Full-time employment (finding) 1990-09-07 - 1991-09-13 : Full-time employment (finding) 1990-09-07 - : Received higher education (finding) -------------------------------------------------------------------------------- CARE PLANS: 2014-04-02[CURRENT] : Therapy (regime/therapy) Activity: Physical therapy procedure (regime/therapy) Activity: Cognitive and behavioral therapy (regime/therapy) 2009-10-02[CURRENT] : Diabetes self management plan Reason: Prediabetes Activity: Diabetic diet Activity: Exercise therapy -------------------------------------------------------------------------------- REPORTS: 2022-04-01 : Alcohol Use Disorder Identification Test - Consumption [AUDIT-C] - Total score [AUDIT-C] 1.0 {score} 2022-04-01 : Basic Metabolic Panel - Glucose 70.3 mg/dL - Urea Nitrogen 18.7 mg/dL - Creatinine 0.8 mg/dL - Calcium 9.0 mg/dL - Sodium 137.4 mmol/L - Potassium 4.5 mmol/L - Chloride 101.7 mmol/L - Carbon Dioxide 20.8 mmol/L 2021-03-26 : Alcohol Use Disorder Identification Test - Consumption [AUDIT-C] - Total score [AUDIT-C] 1.0 {score} 2021-03-26 : Basic Metabolic Panel - Glucose 93.4 mg/dL - Urea Nitrogen 19.1 mg/dL - Creatinine 0.8 mg/dL - Calcium 9.7 mg/dL - Sodium 138.7 mmol/L - Potassium 4.5 mmol/L - Chloride 108.1 mmol/L - Carbon Dioxide 22.9 mmol/L -------------------------------------------------------------------------------- OBSERVATIONS: 2022-04-01 : Total score [AUDIT-C] 1.0 {score} 2022-04-01 : Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE] - In the past year, have you been afraid of your partner or ex-partner? No - Do you feel physically and emotionally safe where you currently live? No - Are you a refugee? No - In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility? No - Stress is when someone feels tense, nervous, anxious or can't sleep at night because their mind is troubled. How stressed are you? Not at all - How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)? 3 to 5 times a week - Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living? No - In the past year, have you or any family members you live with been unable to get any of the following when it was really needed? I choose not to answer this question - During the past year, what was the total combined income for you and the family members you live with? This information will help us determine if you are eligible for any benefits. 404085 /a - What is your main insurance? Private insurance - What is your current work situation? Full-time work - What is the highest level of school that you have finished? More than high school - What address do you live at? 100 Herman Trace - Are you worried about losing your housing? No - What is your housing situation today? I have housing - How many family members, including yourself, do you currently live with? 5.0 {#} - What language are you most comfortable speaking? English - Have you been discharged from the armed forces of the United States? No - At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income? No - Which race(s) are you? White - Are you Hispanic or Latino? No 2022-04-01 : Hemoglobin A1c/Hemoglobin.total in Blood 5.8 % 2022-04-01 : Tobacco smoking status Ex-smoker (finding) 2022-04-01 : Carbon Dioxide 20.8 mmol/L 2022-04-01 : Chloride 101.7 mmol/L 2022-04-01 : Potassium 4.5 mmol/L 2022-04-01 : Sodium 137.4 mmol/L 2022-04-01 : Calcium 9.0 mg/dL 2022-04-01 : Creatinine 0.8 mg/dL 2022-04-01 : Urea Nitrogen 18.7 mg/dL 2022-04-01 : Glucose 70.3 mg/dL 2022-04-01 : Respiratory rate 13.0 /min 2022-04-01 : Heart rate 91.0 /min 2022-04-01 : Blood Pressure - Diastolic Blood Pressure 97.0 mm[Hg] - Systolic Blood Pressure 127.0 mm[Hg] 2022-04-01 : Body Mass Index 28.0 kg/m2 2022-04-01 : Body Weight 73.4 kg 2022-04-01 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 3.0 {score} 2022-04-01 : Body Height 161.9 cm 2021-03-26 : Total score [AUDIT-C] 1.0 {score} 2021-03-26 : Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE] - In the past year, have you been afraid of your partner or ex-partner? No - Do you feel physically and emotionally safe where you currently live? Yes - Are you a refugee? No - In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility? No - Stress is when someone feels tense, nervous, anxious or can't sleep at night because their mind is troubled. How stressed are you? Quite a bit - How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)? 3 to 5 times a week - Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living? No - In the past year, have you or any family members you live with been unable to get any of the following when it was really needed? I choose not to answer this question - During the past year, what was the total combined income for you and the family members you live with? This information will help us determine if you are eligible for any benefits. 404085 /a - What is your main insurance? Private insurance - What is your current work situation? Part-time or temporary work - What is the highest level of school that you have finished? More than high school - What address do you live at? 100 Herman Trace - Are you worried about losing your housing? No - What is your housing situation today? I have housing - How many family members, including yourself, do you currently live with? 5.0 {#} - What language are you most comfortable speaking? English - Have you been discharged from the armed forces of the United States? No - At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income? No - Which race(s) are you? White - Are you Hispanic or Latino? No 2021-03-26 : Hemoglobin A1c/Hemoglobin.total in Blood 6.2 % 2021-03-26 : Tobacco smoking status Ex-smoker (finding) 2021-03-26 : Carbon Dioxide 22.9 mmol/L 2021-03-26 : Chloride 108.1 mmol/L 2021-03-26 : Potassium 4.5 mmol/L 2021-03-26 : Sodium 138.7 mmol/L 2021-03-26 : Calcium 9.7 mg/dL 2021-03-26 : Creatinine 0.8 mg/dL 2021-03-26 : Urea Nitrogen 19.1 mg/dL 2021-03-26 : Glucose 93.4 mg/dL 2021-03-26 : Respiratory rate 13.0 /min 2021-03-26 : Heart rate 61.0 /min 2021-03-26 : Blood Pressure - Diastolic Blood Pressure 87.0 mm[Hg] - Systolic Blood Pressure 111.0 mm[Hg] 2021-03-26 : Body Mass Index 28.0 kg/m2 2021-03-26 : Body Weight 73.4 kg 2021-03-26 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 3.0 {score} 2021-03-26 : Body Height 161.9 cm -------------------------------------------------------------------------------- PROCEDURES: 2022-04-01 : Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure) 2022-04-01 : Assessment of substance use (procedure) 2022-04-01 : Medication Reconciliation (procedure) 2022-04-01 : Assessment of health and social care needs (procedure) 2021-03-26 : Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure) 2021-03-26 : Assessment of substance use (procedure) 2021-03-26 : Assessment of health and social care needs (procedure) -------------------------------------------------------------------------------- IMMUNIZATIONS: 2022-04-01 : Influenza, seasonal, injectable, preservative free 2021-04-30 : SARS-COV-2 (COVID-19) vaccine, vector non-replicating, recombinant spike protein-Ad26, preservative free, 0.5 mL 2021-03-26 : Influenza, seasonal, injectable, preservative free -------------------------------------------------------------------------------- ENCOUNTERS: 2022-04-06 (Dr. Cira Jakubowski) : Encounter at ENCOMPASS HEALTH REHABILITATION HOSP OF NEW ENGLAN 2022-04-01 (Dr. Augustine Greenholt) : Encounter at WAYSIDE YOUTH & FAMILY SUPPORT NETWORK 2021-04-30 (Dr. Cira Jakubowski) : Encounter at ENCOMPASS HEALTH REHABILITATION HOSP OF NEW ENGLAN 2021-03-26 (Dr. Augustine Greenholt) : Encounter at WAYSIDE YOUTH & FAMILY SUPPORT NETWORK 2020-03-20 (Dr. Augustine Greenholt) : Encounter at WAYSIDE YOUTH & FAMILY SUPPORT NETWORK 2019-03-15 (Dr. Augustine Greenholt) : Encounter at WAYSIDE YOUTH & FAMILY SUPPORT NETWORK 2018-04-27 (Dr. Cira Jakubowski) : Encounter at ENCOMPASS HEALTH REHABILITATION HOSP OF NEW ENGLAN 2018-03-09 (Dr. Augustine Greenholt) : Encounter at WAYSIDE YOUTH & FAMILY SUPPORT NETWORK 2017-11-03 (Dr. Cira Jakubowski) : Encounter at ENCOMPASS HEALTH REHABILITATION HOSP OF NEW ENGLAN : Encounter for Normal pregnancy 2017-10-20 (Dr. Cira Jakubowski) : Encounter at ENCOMPASS HEALTH REHABILITATION HOSP OF NEW ENGLAN : Encounter for Viral sinusitis (disorder) 2017-03-03 (Dr. Augustine Greenholt) : Encounter at WAYSIDE YOUTH & FAMILY SUPPORT NETWORK 2016-02-26 (Dr. Augustine Greenholt) : Encounter at WAYSIDE YOUTH & FAMILY SUPPORT NETWORK 2015-02-20 (Dr. Augustine Greenholt) : Encounter at WAYSIDE YOUTH & FAMILY SUPPORT NETWORK 2014-06-01 (Dr. Cira Jakubowski) : Encounter at ENCOMPASS HEALTH REHABILITATION HOSP OF NEW ENGLAN 2014-04-02 (Dr. Cira Jakubowski) : Encounter at ENCOMPASS HEALTH REHABILITATION HOSP OF NEW ENGLAN 2014-02-14 (Dr. Augustine Greenholt) : Encounter at WAYSIDE YOUTH & FAMILY SUPPORT NETWORK 2014-02-02 (Dr. Cira Jakubowski) : Encounter at ENCOMPASS HEALTH REHABILITATION HOSP OF NEW ENGLAN 2012-07-20 (Dr. Augustine Greenholt) : Encounter at WAYSIDE YOUTH & FAMILY SUPPORT NETWORK 2011-06-01 (Dr. Cira Jakubowski) : Encounter at ENCOMPASS HEALTH REHABILITATION HOSP OF NEW ENGLAN 2009-10-02 (Dr. Augustine Greenholt) : Encounter at WAYSIDE YOUTH & FAMILY SUPPORT NETWORK 2007-03-10 (Dr. Cira Jakubowski) : Encounter at ENCOMPASS HEALTH REHABILITATION HOSP OF NEW ENGLAN : Encounter for Acute bronchitis (disorder) 2006-09-29 (Dr. Augustine Greenholt) : Encounter at WAYSIDE YOUTH & FAMILY SUPPORT NETWORK 2000-09-22 (Dr. Augustine Greenholt) : Encounter at WAYSIDE YOUTH & FAMILY SUPPORT NETWORK 1994-09-16 (Dr. Augustine Greenholt) : Encounter at WAYSIDE YOUTH & FAMILY SUPPORT NETWORK 1991-09-13 (Dr. Augustine Greenholt) : Encounter at WAYSIDE YOUTH & FAMILY SUPPORT NETWORK 1990-09-07 (Dr. Augustine Greenholt) : Encounter at WAYSIDE YOUTH & FAMILY SUPPORT NETWORK -------------------------------------------------------------------------------- IMAGING STUDIES: --------------------------------------------------------------------------------