Manual Kovacek ============== Race: White Ethnicity: Non-Hispanic Gender: M Age: 32 Birth Date: 1990-01-08 Marital Status: M -------------------------------------------------------------------------------- ALLERGIES: No Known Allergies -------------------------------------------------------------------------------- MEDICATIONS: 2022-05-09[CURRENT] : lisinopril 10 MG Oral Tablet for Hypertension 2022-05-09[CURRENT] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension 2021-05-03[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension 2021-05-03[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension 2020-04-27[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension 2020-04-27[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension 2019-04-22[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension 2019-04-22[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension 2019-02-25[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension 2019-02-25[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension 2018-04-16[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension 2018-04-16[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension 2018-04-16[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension 2018-04-16[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension 2017-04-10[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension 2017-04-10[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension 2016-04-04[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension 2016-04-04[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension 2015-03-30[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension 2015-03-30[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension 2014-03-24[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension 2014-03-24[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension 2013-03-18[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension 2013-03-18[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension 2012-03-12[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension 2012-03-12[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension 2012-03-12[STOPPED] : lisinopril 10 MG Oral Tablet for Hypertension 2012-03-12[STOPPED] : Hydrochlorothiazide 25 MG Oral Tablet for Hypertension -------------------------------------------------------------------------------- CONDITIONS: 2022-05-09 - : Full-time employment (finding) 2021-05-03 - : Stress (finding) 2021-05-03 - 2022-05-09 : Part-time employment (finding) 2020-04-27 - 2021-05-03 : Full-time employment (finding) 2019-04-22 - 2020-04-27 : Full-time employment (finding) 2019-02-25 - 2019-04-22 : Full-time employment (finding) 2018-04-16 - : Anemia (disorder) 2018-04-16 - : Prediabetes 2018-04-16 - : Metabolic syndrome X (disorder) 2015-03-30 - 2016-04-04 : Full-time employment (finding) 2014-03-24 - 2019-02-25 : Stress (finding) 2013-03-18 - 2014-03-24 : Full-time employment (finding) 2012-03-12 - 2013-03-18 : Full-time employment (finding) 2012-03-12 - : Body mass index 30+ - obesity (finding) 2012-03-12 - : Hypertension 2009-03-09 - 2013-03-18 : Stress (finding) 2009-03-09 - 2012-03-12 : Full-time employment (finding) 2008-03-03 - 2009-03-09 : Full-time employment (finding) 2008-03-03 - : Received certificate of high school equivalency (finding) -------------------------------------------------------------------------------- CARE PLANS: 2018-04-16[CURRENT] : Diabetes self management plan Reason: Prediabetes Activity: Diabetic diet Activity: Exercise therapy 2012-03-12[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 -------------------------------------------------------------------------------- REPORTS: 2022-05-09 : Alcohol Use Disorder Identification Test - Consumption [AUDIT-C] - Total score [AUDIT-C] 1.0 {score} 2022-05-09 : Patient Health Questionnaire 2 item (PHQ-2) [Reported] - Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 1.0 {score} 2022-05-09 : Humiliation, Afraid, Rape, and Kick questionnaire [HARK] - Total score [HARK] 0.0 {score} 2022-05-09 : Generalized anxiety disorder 7 item (GAD-7) - Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 4.0 {score} 2022-05-09 : Complete blood count (hemogram) panel - Blood by Automated count - Leukocytes [#/volume] in Blood by Automated count 6.3 10*3/uL - Erythrocytes [#/volume] in Blood by Automated count 3.9 10*6/uL - Hemoglobin [Mass/volume] in Blood 13.4 g/dL - Hematocrit [Volume Fraction] of Blood by Automated count 46.0 % - MCV [Entitic volume] by Automated count 89.4 fL - MCH [Entitic mass] by Automated count 31.3 pg - MCHC [Mass/volume] by Automated count 34.1 g/dL - Erythrocyte distribution width [Entitic volume] by Automated count 42.2 fL - Platelets [#/volume] in Blood by Automated count 218.4 10*3/uL - Platelet distribution width [Entitic volume] in Blood by Automated count 425.7 fL - Platelet mean volume [Entitic volume] in Blood by Automated count 12.0 fL 2022-05-09 : Basic Metabolic Panel - Glucose 85.2 mg/dL - Urea Nitrogen 13.6 mg/dL - Creatinine 1.9 mg/dL - Calcium 10.1 mg/dL - Sodium 142.5 mmol/L - Potassium 4.8 mmol/L - Chloride 104.3 mmol/L - Carbon Dioxide 25.7 mmol/L 2021-05-03 : Patient Health Questionnaire 2 item (PHQ-2) [Reported] - Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 0.0 {score} 2021-05-03 : Basic Metabolic Panel - Glucose 85.5 mg/dL - Urea Nitrogen 16.0 mg/dL - Creatinine 1.6 mg/dL - Calcium 8.8 mg/dL - Sodium 137.4 mmol/L - Potassium 4.2 mmol/L - Chloride 106.2 mmol/L - Carbon Dioxide 26.5 mmol/L -------------------------------------------------------------------------------- OBSERVATIONS: 2022-05-09 : Total score [AUDIT-C] 1.0 {score} 2022-05-09 : Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 1.0 {score} 2022-05-09 : Total score [HARK] 0.0 {score} 2022-05-09 : Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 4.0 {score} 2022-05-09 : 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)? 5 or more 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. 85166 /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? High school diploma or GED - What address do you live at? 837 Mann Well Unit 3 - 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? 3.0 {#} - 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 2022-05-09 : Hemoglobin A1c/Hemoglobin.total in Blood 6.1 % 2022-05-09 : Tobacco smoking status Ex-smoker (finding) 2022-05-09 : Platelet mean volume [Entitic volume] in Blood by Automated count 12.0 fL 2022-05-09 : Platelet distribution width [Entitic volume] in Blood by Automated count 425.7 fL 2022-05-09 : Platelets [#/volume] in Blood by Automated count 218.4 10*3/uL 2022-05-09 : Erythrocyte distribution width [Entitic volume] by Automated count 42.2 fL 2022-05-09 : MCHC [Mass/volume] by Automated count 34.1 g/dL 2022-05-09 : MCH [Entitic mass] by Automated count 31.3 pg 2022-05-09 : MCV [Entitic volume] by Automated count 89.4 fL 2022-05-09 : Hematocrit [Volume Fraction] of Blood by Automated count 46.0 % 2022-05-09 : Hemoglobin [Mass/volume] in Blood 13.4 g/dL 2022-05-09 : Erythrocytes [#/volume] in Blood by Automated count 3.9 10*6/uL 2022-05-09 : Leukocytes [#/volume] in Blood by Automated count 6.3 10*3/uL 2022-05-09 : Carbon Dioxide 25.7 mmol/L 2022-05-09 : Chloride 104.3 mmol/L 2022-05-09 : Potassium 4.8 mmol/L 2022-05-09 : Sodium 142.5 mmol/L 2022-05-09 : Calcium 10.1 mg/dL 2022-05-09 : Creatinine 1.9 mg/dL 2022-05-09 : Urea Nitrogen 13.6 mg/dL 2022-05-09 : Glucose 85.2 mg/dL 2022-05-09 : Respiratory rate 15.0 /min 2022-05-09 : Heart rate 63.0 /min 2022-05-09 : Blood Pressure - Diastolic Blood Pressure 90.0 mm[Hg] - Systolic Blood Pressure 136.0 mm[Hg] 2022-05-09 : Body Mass Index 30.3 kg/m2 2022-05-09 : Body Weight 104.9 kg 2022-05-09 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 4.0 {score} 2022-05-09 : Body Height 186.0 cm 2021-05-03 : Patient Health Questionnaire 2 item (PHQ-2) total score [Reported] 0.0 {score} 2021-05-03 : 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? 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. 85166 /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? High school diploma or GED - What address do you live at? 837 Mann Well Unit 3 - 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? 3.0 {#} - 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 2021-05-03 : Hemoglobin A1c/Hemoglobin.total in Blood 6.1 % 2021-05-03 : Tobacco smoking status Ex-smoker (finding) 2021-05-03 : Carbon Dioxide 26.5 mmol/L 2021-05-03 : Chloride 106.2 mmol/L 2021-05-03 : Potassium 4.2 mmol/L 2021-05-03 : Sodium 137.4 mmol/L 2021-05-03 : Calcium 8.8 mg/dL 2021-05-03 : Creatinine 1.6 mg/dL 2021-05-03 : Urea Nitrogen 16.0 mg/dL 2021-05-03 : Glucose 85.5 mg/dL 2021-05-03 : Respiratory rate 15.0 /min 2021-05-03 : Heart rate 64.0 /min 2021-05-03 : Blood Pressure - Diastolic Blood Pressure 95.0 mm[Hg] - Systolic Blood Pressure 140.0 mm[Hg] 2021-05-03 : Body Mass Index 29.8 kg/m2 2021-05-03 : Body Weight 103.1 kg 2021-05-03 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 4.0 {score} 2021-05-03 : Body Height 186.0 cm -------------------------------------------------------------------------------- PROCEDURES: 2022-05-09 : Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure) 2022-05-09 : Assessment of substance use (procedure) 2022-05-09 : Depression screening using Patient Health Questionnaire Two-Item score (procedure) 2022-05-09 : Depression screening (procedure) 2022-05-09 : Screening for domestic abuse (procedure) 2022-05-09 : Assessment of anxiety (procedure) 2022-05-09 : Assessment of health and social care needs (procedure) 2021-05-03 : Depression screening using Patient Health Questionnaire Two-Item score (procedure) 2021-05-03 : Depression screening (procedure) 2021-05-03 : Assessment of health and social care needs (procedure) -------------------------------------------------------------------------------- IMMUNIZATIONS: 2022-05-09 : Influenza, seasonal, injectable, preservative free 2021-05-10 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose 2021-05-03 : Td (adult) preservative free 2021-05-03 : Influenza, seasonal, injectable, preservative free 2021-04-12 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 100 mcg/0.5mL dose -------------------------------------------------------------------------------- ENCOUNTERS: 2022-05-09 (Dr. Candance Crona) : Encounter at ATLANTIC COASTAL WELLNESS INC 2021-05-10 (Dr. Randy Bergstrom) : Encounter at CAPE COD HOSPITAL INC 2021-05-03 (Dr. Candance Crona) : Encounter at ATLANTIC COASTAL WELLNESS INC 2021-04-12 (Dr. Randy Bergstrom) : Encounter at CAPE COD HOSPITAL INC 2020-04-27 (Dr. Candance Crona) : Encounter at ATLANTIC COASTAL WELLNESS INC 2019-04-22 (Dr. Candance Crona) : Encounter at ATLANTIC COASTAL WELLNESS INC 2019-02-25 (Dr. Randy Bergstrom) : Encounter at CAPE COD HOSPITAL INC 2018-04-16 (Dr. Randy Bergstrom) : Encounter at CAPE COD HOSPITAL INC : Encounter for Anemia (disorder) 2018-04-16 (Dr. Candance Crona) : Encounter at ATLANTIC COASTAL WELLNESS INC 2017-04-10 (Dr. Candance Crona) : Encounter at ATLANTIC COASTAL WELLNESS INC 2016-04-04 (Dr. Candance Crona) : Encounter at ATLANTIC COASTAL WELLNESS INC 2015-03-30 (Dr. Candance Crona) : Encounter at ATLANTIC COASTAL WELLNESS INC 2014-03-24 (Dr. Candance Crona) : Encounter at ATLANTIC COASTAL WELLNESS INC 2013-03-18 (Dr. Candance Crona) : Encounter at ATLANTIC COASTAL WELLNESS INC 2012-03-12 (Dr. Candance Crona) : Encounter at ATLANTIC COASTAL WELLNESS INC 2009-03-09 (Dr. Candance Crona) : Encounter at ATLANTIC COASTAL WELLNESS INC 2008-03-03 (Dr. Candance Crona) : Encounter at ATLANTIC COASTAL WELLNESS INC -------------------------------------------------------------------------------- IMAGING STUDIES: --------------------------------------------------------------------------------