Nestor Hilll
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Race: White
Ethnicity: Non-Hispanic
Gender: M
Age: 28
Birth Date: 1994-07-30
Marital Status: M
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ALLERGIES:
No Known Allergies
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MEDICATIONS:
2013-09-14[CURRENT] : FLUoxetine 20 MG Oral Capsule for Major depression, single episode
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CONDITIONS:
2022-10-08 - : Full-time employment (finding)
2019-10-05 - 2022-10-08 : Reports of violence in the environment (finding)
2019-10-05 - 2022-10-08 : Social isolation (finding)
2019-10-05 - 2022-10-08 : Full-time employment (finding)
2019-10-05 - : Anemia (disorder)
2016-10-01 - : Limited social contact (finding)
2016-10-01 - : Prediabetes
2013-09-28 - 2022-10-08 : Stress (finding)
2013-09-14 - : Major depression disorder
2012-09-22 - 2013-09-28 : Full-time employment (finding)
2012-09-22 - : Received higher education (finding)
2012-09-22 - : Served in armed forces (finding)
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CARE PLANS:
2016-10-01[CURRENT] : Diabetes self management plan
Reason: Prediabetes
Activity: Diabetic diet
Activity: Exercise therapy
2013-09-14[CURRENT] : Major depressive disorder clinical management plan
Reason: Major depression disorder
2013-09-14[CURRENT] : Mental health care plan
Reason: Major depression, single episode
Activity: Initial psychiatric interview with mental status and evaluation
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REPORTS:
2022-10-08 : Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]
- Total score [AUDIT-C] 2.0 {score}
2022-10-08 : Humiliation, Afraid, Rape, and Kick questionnaire [HARK]
- Total score [HARK] 0.0 {score}
2022-10-08 : Complete blood count (hemogram) panel - Blood by Automated count
- Leukocytes [#/volume] in Blood by Automated count 8.3 10*3/uL
- Erythrocytes [#/volume] in Blood by Automated count 3.9 10*6/uL
- Hemoglobin [Mass/volume] in Blood 15.5 g/dL
- Hematocrit [Volume Fraction] of Blood by Automated count 43.4 %
- MCV [Entitic volume] by Automated count 93.7 fL
- MCH [Entitic mass] by Automated count 29.4 pg
- MCHC [Mass/volume] by Automated count 34.3 g/dL
- Erythrocyte distribution width [Entitic volume] by Automated count 44.9 fL
- Platelets [#/volume] in Blood by Automated count 247.1 10*3/uL
- Platelet distribution width [Entitic volume] in Blood by Automated count 186.9 fL
- Platelet mean volume [Entitic volume] in Blood by Automated count 12.0 fL
2022-10-08 : Basic Metabolic Panel
- Glucose 68.9 mg/dL
- Urea Nitrogen 14.0 mg/dL
- Creatinine 1.3 mg/dL
- Calcium 8.6 mg/dL
- Sodium 138.3 mmol/L
- Potassium 4.1 mmol/L
- Chloride 109.3 mmol/L
- Carbon Dioxide 26.3 mmol/L
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OBSERVATIONS:
2022-10-08 : Total score [AUDIT-C] 2.0 {score}
2022-10-08 : Total score [HARK] 0.0 {score}
2022-10-08 : 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? 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. 157226 /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? 739 Harber Underpass
- 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? 8.0 {#}
- What language are you most comfortable speaking? English
- Have you been discharged from the armed forces of the United States? Yes
- 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
2022-10-08 : Hemoglobin A1c/Hemoglobin.total in Blood 6.3 %
2022-10-08 : Tobacco smoking status Never smoked tobacco (finding)
2022-10-08 : Platelet mean volume [Entitic volume] in Blood by Automated count 12.0 fL
2022-10-08 : Platelet distribution width [Entitic volume] in Blood by Automated count 186.9 fL
2022-10-08 : Platelets [#/volume] in Blood by Automated count 247.1 10*3/uL
2022-10-08 : Erythrocyte distribution width [Entitic volume] by Automated count 44.9 fL
2022-10-08 : MCHC [Mass/volume] by Automated count 34.3 g/dL
2022-10-08 : MCH [Entitic mass] by Automated count 29.4 pg
2022-10-08 : MCV [Entitic volume] by Automated count 93.7 fL
2022-10-08 : Hematocrit [Volume Fraction] of Blood by Automated count 43.4 %
2022-10-08 : Hemoglobin [Mass/volume] in Blood 15.5 g/dL
2022-10-08 : Erythrocytes [#/volume] in Blood by Automated count 3.9 10*6/uL
2022-10-08 : Leukocytes [#/volume] in Blood by Automated count 8.3 10*3/uL
2022-10-08 : Carbon Dioxide 26.3 mmol/L
2022-10-08 : Chloride 109.3 mmol/L
2022-10-08 : Potassium 4.1 mmol/L
2022-10-08 : Sodium 138.3 mmol/L
2022-10-08 : Calcium 8.6 mg/dL
2022-10-08 : Creatinine 1.3 mg/dL
2022-10-08 : Urea Nitrogen 14.0 mg/dL
2022-10-08 : Glucose 68.9 mg/dL
2022-10-08 : Respiratory rate 13.0 /min
2022-10-08 : Heart rate 99.0 /min
2022-10-08 : Blood Pressure
- Diastolic Blood Pressure 71.0 mm[Hg]
- Systolic Blood Pressure 110.0 mm[Hg]
2022-10-08 : Body Mass Index 27.4 kg/m2
2022-10-08 : Body Weight 85.7 kg
2022-10-08 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 1.0 {score}
2022-10-08 : Body Height 177.0 cm
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PROCEDURES:
2022-10-08 : Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)
2022-10-08 : Assessment of substance use (procedure)
2022-10-08 : Screening for domestic abuse (procedure)
2022-10-08 : Assessment of health and social care needs (procedure)
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IMMUNIZATIONS:
2022-10-08 : Influenza, seasonal, injectable, preservative free
2021-07-17 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose
2021-06-26 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose
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ENCOUNTERS:
2022-10-08 (Dr. Vida Kohler) : Encounter at Lowell Vet Center
2021-07-17 (Dr. Vida Kohler) : Encounter at Lowell Vet Center
2021-06-26 (Dr. Vida Kohler) : Encounter at Lowell Vet Center
2019-10-05 (Dr. Vida Kohler) : Encounter at Lowell Vet Center : Encounter for Anemia (disorder)
2019-10-05 (Dr. Vida Kohler) : Encounter at Lowell Vet Center
2016-10-01 (Dr. Vida Kohler) : Encounter at Lowell Vet Center
2013-09-28 (Dr. Brock VonRueden) : Encounter at GREATER LAWRENCE FAMILY HEALTH CENTER INC
2013-09-14 (Dr. Alysha Koch) : Encounter at TEWKSBURY HOSPITAL : Encounter for Major depression, single episode
2013-09-14 (Dr. Alysha Koch) : Encounter at TEWKSBURY HOSPITAL : Encounter for Major depression, single episode
2012-09-22 (Dr. Brock VonRueden) : Encounter at GREATER LAWRENCE FAMILY HEALTH CENTER INC
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IMAGING STUDIES:
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