15231 Office Visit Note encounter_id 07/29/2005 Subodh Agrawal M.D. BA0365228 Athens Heart Center logo_2.gif

2005 Prince Avenue Athens GA 30606

706-208-9700 706-208-8258 706-208-0806 222222 222-22-2222 Prabhakar Shyam P Mr. Jr. Sham 05/07/1970 33 M 706-254-6666 706-999-9999

333Dogs Drive Apt 604 ATHENS GA 30606

M secondary Asian Hindu False False English full time Athens Heart Center

2005 Prince Avenue 2005 Prince Avenue Athens MT 30605

706-208-9700 1 2 MEDICARE PART B MEDICAL CLAIMS Jon PO BOX 3018 SAVANNAH GA 31402 877-567-7271 123 Prabhakar P Shyam 222-22-2222 2 550 AETNA LIFE INS CO MEDICAL CLAIMS PO BOX 5569 AKRON OH 44334 800-533-7831 90000023 Prabhakar P Shyam 222-22-2222 egetert g34534534 3 1093 AETNA MEDICAL CLAIMS P.O. BOX 9070 TYLER TX 75711 800-353-9158 4 909090 JON Almand David M.D. (770) 922-3023 Emergency Medicine Gibson Timothy M.D. 706-227-2027 706-227-2433 Family Practice Alarcon Alfredo (404) 256-5212 Carson's

706-754-4128 Commerce Drug Company

706-335-3111 drug AMPICILLIN moderate Rash environment IVP DYE current fatal drug PENICILLIN uncertain severe drug TYLENOL past mild hives SKA Backache unspecified Hypercholesterolemia Chest Pain Hypertension Shortness of Breath. Dilated cardiomyopathy Abnormal ECG Acute Glomerulonephritis with other specified Pathological Lesion in Kidney Something Chest Pain 271 93735 ANALYZE PACEMAKER SYSTEM IP E R False False 272 75722 ARTERY X-RAYS, KIDNEY IP E R False False 206 152792 Intropin injection 40 mg/ml 1 inj qd 1 inj qd 0 0 intravenous 0 2118 152791 Tasmar tablets 200 mg 1 tab qd 1 tab qd 0 0 oral 0 152794 206 Intropin injection 40 mg/ml 1 inj qd 1 inj qd 0 0 intravenous 0 152795 303 Advil 100 mg/5ml 1 susp qd 1 susp qd 0 0 oral 0 Agrawal Subodh 152793 2118 Tasmar tablets 200 mg 1 tab qd 1 tab qd 0 0 oral 0 152796 4 Tylenol extended release 650 mg 1 tab er qd 1 tab er qd 0 0 oral 0 Agrawal Subodh . Follow up of abdominal aortic aneurysm, angina, aortic stenosis, aortic valve replacement, dental clearance, and atrial fibrillation status post abnormal stress test. Cardiac clearance for aneurysm removal. Follow up of recent hospitalization at BJC - Commerce for atrial fibrillation. Mr. Prabhakar is a 35 year old patient of Dr David Almand, Dr Timothy Gibson, and Dr Alfredo Alarcon. He was admitted to Ty Cobb Memorial by Dr. Alfredo Alarcon for bradycardia. He was found to have complete heart block. He was treated with mitral valve replacement. And he did not respond well. The patient was then transferred to Emory. He was admitted to Emory by Dr. Timothy Gibson for angina. He was found to have atrial fibrillation and complete heart block. He was treated with cholecystectomy and he responded well. The patient was then transferred to St. Mary's Hospital. He is here today for follow up management of arrhythmia, atrial fibrillation, and ICD function. Since his last visit new problems have developed. He is taking his medications as prescribed. There appear to be possibly some side effects related to the medications. Overall, he believes that his arrhythmia, atrial fibrillation, and ICD function is poorly controlled. He is here today for follow up management of cardiomegaly and coronary artery disease. Since his last visit no new problems have developed. He is taking his medications as prescribed. There appear to be possibly some side effects related to the medications. Overall, he believes that his cardiomegaly and coronary artery disease is stable. The chest pain is associated with itchy. He reports that his chest pain is aggravated by bending. The chest pain is relieved by belching. The patient reports this morning with her spell. Dizziness is associated with palpitations. He states that this symptom is aggravated by activity, bending, and high blood pressure. The dizziness is relieved by sitting down. He states that the palpitations are aggravated by position changes. No past trauma. Mr. Prabhakar has a positive family history of coronary artery disease. The patient's crap2 is deceased. Mr. Prabhakar resides in a apartment home. He is lives with her daughter to hkkl. He has excellent social support. Patient reports daily chills associated with chest pain. These symptoms have not been worked up by his primary care physician. Patient reports recent unintentional weight gain. This problem has not been worked up by his primary care physician. !!error!! Patient reports recent onset of severe trouble falling asleep. This problem has been working up by his primary care physician. The patient reports migraine headache. Patient denies dysuria. Patient complains of recent onset of hematuria. Patient complains of chronic presence of hesitancy. Patient denies dribbling. Patient complains of recent onset of burning with urination. Patient reports history of blood transfusion as a result of anemia. Patient reports he did experience a transfusion reaction. Patient reports frequent of mild pruritis associated with weakness. This problem has been worked up by the patient's dermatologist. Patient reports a walnut-sized keratosis that is located over the entire body. Patient admits to a history of panic attacks that is currently managed by common mental health. His symptoms are felt to be not under control. Height: 170 Weight: 280 lbs BP: 120/80 Pulse: 80 Respirations: 20 The patient appears the stated age. \nMODEL: Pacesetter 5346 SERIAL # : 536822.\n\n\n Abdominal aortic aneurysm, asymptomatic. . Abdominal pain appears to be secondary to angina. Jon is cool guy, guy, nice guy, and super coder. This throat looks normal