Karisa Kuhn =========== Race: White Ethnicity: Non-Hispanic Gender: F Age: 46 Birth Date: 1976-05-08 Marital Status: M -------------------------------------------------------------------------------- ALLERGIES: No Known Allergies -------------------------------------------------------------------------------- MEDICATIONS: 2022-09-17[CURRENT] : lisinopril 10 MG Oral Tablet for Hypertension 2022-08-14[CURRENT] : Naproxen 500 MG Oral Tablet for Primary fibromyalgia syndrome 2021-09-11[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension 2021-09-02[STOPPED] : Yaz 28 Day Pack 2020-09-05[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension 2020-09-02[STOPPED] : Liletta 52 MG Intrauterine System 2020-09-05[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension 2019-08-31[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension 2018-08-25[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension 2017-08-19[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension 2016-08-13[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension 2015-08-08[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension 2014-08-02[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension 2013-07-27[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension 2013-07-27[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension -------------------------------------------------------------------------------- CONDITIONS: 2022-08-14 - : Primary fibromyalgia syndrome 2021-09-11 - : Stress (finding) 2016-08-13 - 2020-09-05 : Stress (finding) 2016-08-13 - : Metabolic syndrome X (disorder) 2015-08-08 - 2022-09-17 : Limited social contact (finding) 2013-07-27 - : Hypertension 2010-07-24 - 2015-08-08 : Stress (finding) 2004-08-21 - 2007-07-21 : Stress (finding) 2004-08-21 - : Anemia (disorder) 2004-07-17 - : Prediabetes 1998-07-11 - : Body mass index 30+ - obesity (finding) 1994-07-02 - 2004-07-17 : Stress (finding) 1994-07-02 - : Unemployed (finding) 1994-07-02 - : Received certificate of high school equivalency (finding) 1992-06-20 - : Risk activity involvement (finding) -------------------------------------------------------------------------------- CARE PLANS: 2022-08-14[CURRENT] : Musculoskeletal care Activity: Joint mobility exercises Activity: Stress management 2013-07-27[CURRENT] : Lifestyle education regarding hypertension Reason: Hypertension Activity: Prescribed activity/exercise education Activity: Counseling about alcohol consumption Activity: Dietary approaches to stop hypertension diet Activity: Smoking cessation education 2004-07-17[CURRENT] : Diabetes self management plan Reason: Prediabetes Activity: Diabetic diet Activity: Exercise therapy -------------------------------------------------------------------------------- REPORTS: 2022-09-17 : PHQ-9 quick depression assessment panel [Reported.PHQ] - Patient Health Questionnaire 9 item (PHQ-9) total score [Reported] 3.0 {score} 2022-09-17 : Patient Health Questionnaire 2 item (PHQ-2) [Reported] - Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 5.0 {score} 2022-09-17 : Generalized anxiety disorder 7 item (GAD-7) - Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 1.0 {score} 2022-09-17 : Lipid Panel - Total Cholesterol 150.3 mg/dL - Triglycerides 110.5 mg/dL - Low Density Lipoprotein Cholesterol 74.8 mg/dL - High Density Lipoprotein Cholesterol 53.4 mg/dL 2022-09-17 : Basic Metabolic Panel - Glucose 69.9 mg/dL - Urea Nitrogen 16.9 mg/dL - Creatinine 0.9 mg/dL - Calcium 10.1 mg/dL - Sodium 136.6 mmol/L - Potassium 4.8 mmol/L - Chloride 110.2 mmol/L - Carbon Dioxide 25.1 mmol/L 2021-09-11 : Drug Abuse Screening Test-10 [DAST-10] - Total score [DAST-10] 1.0 {score} 2021-09-11 : Patient Health Questionnaire 2 item (PHQ-2) [Reported] - Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 1.0 {score} 2021-09-11 : Generalized anxiety disorder 7 item (GAD-7) - Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 3.0 {score} 2021-09-11 : Basic Metabolic Panel - Glucose 98.6 mg/dL - Urea Nitrogen 19.6 mg/dL - Creatinine 1.2 mg/dL - Calcium 9.1 mg/dL - Sodium 142.1 mmol/L - Potassium 4.9 mmol/L - Chloride 106.9 mmol/L - Carbon Dioxide 24.8 mmol/L -------------------------------------------------------------------------------- OBSERVATIONS: 2022-09-17 : Patient Health Questionnaire 9 item (PHQ-9) total score [Reported] 3.0 {score} 2022-09-17 : Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 5.0 {score} 2022-09-17 : Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 1.0 {score} 2022-09-17 : 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? Medicine or Any Health Care - 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. 10935 /a - What is your main insurance? Medicaid - What is your current work situation? Unemployed (finding) - What is the highest level of school that you have finished? High school diploma or GED - What address do you live at? 962 Marquardt Trafficway Unit 58 - 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 2022-09-17 : Hemoglobin A1c/Hemoglobin.total in Blood 6.4 % 2022-09-17 : Tobacco smoking status Never smoked tobacco (finding) 2022-09-17 : High Density Lipoprotein Cholesterol 53.4 mg/dL 2022-09-17 : Low Density Lipoprotein Cholesterol 74.8 mg/dL 2022-09-17 : Triglycerides 110.5 mg/dL 2022-09-17 : Total Cholesterol 150.3 mg/dL 2022-09-17 : Carbon Dioxide 25.1 mmol/L 2022-09-17 : Chloride 110.2 mmol/L 2022-09-17 : Potassium 4.8 mmol/L 2022-09-17 : Sodium 136.6 mmol/L 2022-09-17 : Calcium 10.1 mg/dL 2022-09-17 : Creatinine 0.9 mg/dL 2022-09-17 : Urea Nitrogen 16.9 mg/dL 2022-09-17 : Glucose 69.9 mg/dL 2022-09-17 : Respiratory rate 15.0 /min 2022-09-17 : Heart rate 61.0 /min 2022-09-17 : Blood Pressure - Diastolic Blood Pressure 67.0 mm[Hg] - Systolic Blood Pressure 109.0 mm[Hg] 2022-09-17 : Body Mass Index 29.5 kg/m2 2022-09-17 : Body Weight 85.1 kg 2022-09-17 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 0.0 {score} 2022-09-17 : Body Height 169.8 cm 2022-08-14 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 8.0 {score} 2021-09-11 : Total score [DAST-10] 1.0 {score} 2021-09-11 : Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 1.0 {score} 2021-09-11 : Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 3.0 {score} 2021-09-11 : 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? Very much - 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? Utilities - 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. 10935 /a - What is your main insurance? Medicaid - What is your current work situation? Unemployed (finding) - What is the highest level of school that you have finished? High school diploma or GED - What address do you live at? 962 Marquardt Trafficway Unit 58 - 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 2021-09-11 : Hemoglobin A1c/Hemoglobin.total in Blood 6.4 % 2021-09-11 : Tobacco smoking status Never smoked tobacco (finding) 2021-09-11 : Carbon Dioxide 24.8 mmol/L 2021-09-11 : Chloride 106.9 mmol/L 2021-09-11 : Potassium 4.9 mmol/L 2021-09-11 : Sodium 142.1 mmol/L 2021-09-11 : Calcium 9.1 mg/dL 2021-09-11 : Creatinine 1.2 mg/dL 2021-09-11 : Urea Nitrogen 19.6 mg/dL 2021-09-11 : Glucose 98.6 mg/dL 2021-09-11 : Respiratory rate 13.0 /min 2021-09-11 : Heart rate 76.0 /min 2021-09-11 : Blood Pressure - Diastolic Blood Pressure 71.0 mm[Hg] - Systolic Blood Pressure 107.0 mm[Hg] 2021-09-11 : Body Mass Index 29.5 kg/m2 2021-09-11 : Body Weight 85.1 kg 2021-09-11 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 0.0 {score} 2021-09-11 : Body Height 169.8 cm -------------------------------------------------------------------------------- PROCEDURES: 2022-09-17 : Depression screening using Patient Health Questionnaire Nine Item score (procedure) 2022-09-17 : Depression screening using Patient Health Questionnaire Two-Item score (procedure) 2022-09-17 : Depression screening (procedure) 2022-09-17 : Assessment of anxiety (procedure) 2022-09-17 : Assessment of health and social care needs (procedure) 2022-09-17 : Intramuscular injection 2022-06-18 : Intramuscular injection 2022-03-19 : Intramuscular injection 2021-12-18 : Intramuscular injection 2021-09-11 : Screening for drug abuse (procedure) 2021-09-11 : Assessment of substance use (procedure) 2021-09-11 : Depression screening using Patient Health Questionnaire Two-Item score (procedure) 2021-09-11 : Depression screening (procedure) 2021-09-11 : Assessment of anxiety (procedure) 2021-09-18 : Intramuscular injection 2021-09-11 : Medication Reconciliation (procedure) 2021-09-11 : Assessment of health and social care needs (procedure) 2021-06-19 : Intramuscular injection 2021-03-20 : Intramuscular injection 2020-12-19 : Intramuscular injection -------------------------------------------------------------------------------- IMMUNIZATIONS: 2022-09-17 : Influenza, seasonal, injectable, preservative free 2021-09-11 : Influenza, seasonal, injectable, preservative free 2021-08-28 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose 2021-08-07 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose -------------------------------------------------------------------------------- ENCOUNTERS: 2022-09-17 (Dr. Rhett Padberg) : Encounter at VIBRA HOSPITAL OF WESTERN MASSACHUSETTS LLC 2022-09-17 (Dr. Bettina Marquardt) : Encounter at JEWISH FAMILY & CHILDREN'S SERVICE 2022-08-14 (Dr. Rhett Padberg) : Encounter at VIBRA HOSPITAL OF WESTERN MASSACHUSETTS LLC : Encounter for Primary fibromyalgia syndrome 2022-06-18 (Dr. Rhett Padberg) : Encounter at VIBRA HOSPITAL OF WESTERN MASSACHUSETTS LLC 2022-03-19 (Dr. Rhett Padberg) : Encounter at VIBRA HOSPITAL OF WESTERN MASSACHUSETTS LLC 2021-12-18 (Dr. Rhett Padberg) : Encounter at VIBRA HOSPITAL OF WESTERN MASSACHUSETTS LLC 2021-09-18 (Dr. Rhett Padberg) : Encounter at VIBRA HOSPITAL OF WESTERN MASSACHUSETTS LLC 2021-09-11 (Dr. Bettina Marquardt) : Encounter at JEWISH FAMILY & CHILDREN'S SERVICE 2021-09-02 (Dr. Rhett Padberg) : Encounter at VIBRA HOSPITAL OF WESTERN MASSACHUSETTS LLC 2021-08-28 (Dr. Rhett Padberg) : Encounter at VIBRA HOSPITAL OF WESTERN MASSACHUSETTS LLC 2021-08-07 (Dr. Rhett Padberg) : Encounter at VIBRA HOSPITAL OF WESTERN MASSACHUSETTS LLC 2021-06-19 (Dr. Rhett Padberg) : Encounter at VIBRA HOSPITAL OF WESTERN MASSACHUSETTS LLC 2021-03-20 (Dr. Rhett Padberg) : Encounter at VIBRA HOSPITAL OF WESTERN MASSACHUSETTS LLC 2020-12-19 (Dr. Rhett Padberg) : Encounter at VIBRA HOSPITAL OF WESTERN MASSACHUSETTS LLC 2020-09-02 (Dr. Rhett Padberg) : Encounter at VIBRA HOSPITAL OF WESTERN MASSACHUSETTS LLC 2020-09-05 (Dr. Bettina Marquardt) : Encounter at JEWISH FAMILY & CHILDREN'S SERVICE 2019-08-31 (Dr. Bettina Marquardt) : Encounter at JEWISH FAMILY & CHILDREN'S SERVICE 2018-08-25 (Dr. Bettina Marquardt) : Encounter at JEWISH FAMILY & CHILDREN'S SERVICE 2017-08-19 (Dr. Bettina Marquardt) : Encounter at JEWISH FAMILY & CHILDREN'S SERVICE 2016-08-13 (Dr. Bettina Marquardt) : Encounter at JEWISH FAMILY & CHILDREN'S SERVICE 2015-08-08 (Dr. Bettina Marquardt) : Encounter at JEWISH FAMILY & CHILDREN'S SERVICE 2014-08-02 (Dr. Bettina Marquardt) : Encounter at JEWISH FAMILY & CHILDREN'S SERVICE 2013-07-27 (Dr. Bettina Marquardt) : Encounter at JEWISH FAMILY & CHILDREN'S SERVICE 2010-07-24 (Dr. Bettina Marquardt) : Encounter at JEWISH FAMILY & CHILDREN'S SERVICE 2004-08-21 (Dr. Rhett Padberg) : Encounter at VIBRA HOSPITAL OF WESTERN MASSACHUSETTS LLC : Encounter for Anemia (disorder) 2004-08-21 (Dr. Rhett Padberg) : Encounter at VIBRA HOSPITAL OF WESTERN MASSACHUSETTS LLC 2004-07-17 (Dr. Bettina Marquardt) : Encounter at JEWISH FAMILY & CHILDREN'S SERVICE 1998-07-11 (Dr. Rhett Padberg) : Encounter at VIBRA HOSPITAL OF WESTERN MASSACHUSETTS LLC : Encounter for Normal pregnancy 1994-07-02 (Dr. Bettina Marquardt) : Encounter at JEWISH FAMILY & CHILDREN'S SERVICE 1992-06-20 (Dr. Bettina Marquardt) : Encounter at JEWISH FAMILY & CHILDREN'S SERVICE -------------------------------------------------------------------------------- IMAGING STUDIES: --------------------------------------------------------------------------------