Emily Joy Smith

Specialist Referral

Clinical Summary

April 1st, 1989 - August 29th, 2011

Created on

August 29th, 2011 at 3:24pm

From

Donald Cohen, DO

Physiatrist

4225 Shoreline Blvd.
Mill Valley, CA 94949

To

Val Preese, MD

Orthopedic Surgeon

St. Francis Memorial Hospital
2220 Bush Street
San Francisco, CA 94101

I want to follow up.

About You

Personal Details

Full Name

Emily Joy Smith

Address

000 Across Town Street
Suite 000
Suburbs, MM, 00000

Birth Date

January 15th, 1963

Sex

Female

MRN

32987-2862AN-286-ANDLQ

Guardian

John Paul Smith

Address

000 Across Town Street
Suite 000
Suburbs, MM, 00000

Next of Kin

Michael Robert Smith

Address

000 Across Town Street
Suite 000
Suburbs, MM, 00000

Your Values & Goals

Health Attitudes

Prefers holistic, natural remedies
Avoid surgery whenever possible

Nutrition

Vegetarian since 1970
Grows anti-oxidant vegetables year-round
Adheres to The Cancer Diet by Rebecca Katz

Physical Activity

Avid yoga practitioner
Walks 2 miles daily, uses FitBit to record activity

I want to follow up.

Your Care Team

Primary Care Team

1

Daphne Miller, MD

Primary Care

Whole Family Medicine Practice

415.642.0333

drdaphne@wholefamilymedicine.com

Specialists

6 Breast Cancer Team

Lisa Edelstein, MD/MBA

Breast Surgeon

UCSF Medical Center

415.353.7070

lisa.edelstein@ucsfmedctr.org

Holly Regal, MD

Oncologist

UCSF Medical Center

415.353.7070

holly.regal@ucsfmedctr.org

Alice Belmont

Radiologist

UCSF Medical Center

415.353.7070

alice.belmont@ucsfmedctr.org

Hip Team

Val Preese

Orthopedic Surgeon

St. Francis Memorial Hospital

415.353.6500

vpreese@stfrancishospital.com

Donald Cohen

Physiatrist

Oncologist

415.491.1210

david_cohen@davidcohen.com

Bonnie Norwich

Physical Therapist

Noe Valley Physical Therapy

415.821.4148

Complementary Care Team

1

Jennifer Prongos

Acupuncturist

415.285.6564

I want to follow up.

Your Visits

June 1st, 2011

Donald Cohen, DO

Office Visit

Primary Contact

Beverly Cohen

Phone

(415) 491-1210

e-mail

icohen@iwwedu.org

Address

486 Mendicino Avenue
San Mateo, CA 94287

Activity

Activity	Note
X-Ray	Donec massa risus, aliquet vel ornare et, dictum non odio. Sed a ligula id sapien auctor consequat ac vel enim. Curabitur at risus id lacus tempor laoreet quis at lectus.
X-Ray Review	In id ante id felis interdum venenatis. Pellentesque dui urna, suscipit in placerat at, volutpat in leo. Phasellus mauris diam, commodo quis dictum eget, feugiat quis lacus. Vestibulum sit amet dictum felis. Sed elementum nunc eget
Exam	Etiam consectetur erat pretium erat ultrices tempus. Nullam egestas vehicula aliquet.

Follow-Up Activities

Follow-up & Plan	Status	Note
Percocet, PRN	Prescribed	Phasellus sagittis rutrum metus, quis dignissim quam consectetur convallis. Fusce sit amet quam tellus, luctus gravida odio.
Voltaren, PRN	Prescribed	Fusce sit amet quam tellus, luctus gravida odio.
Orthopedic Referral, Dr. Val Preese	Scheduled	E nisl venenatis adipiscing. Cras ac nisl augue. Aenean placerat dictum eros, non lobortis dolor faucibus non. Fusce rhoncus scelerisque nisi, non ullamcorper lorem consequat nec. Suspendisse mi mi, tempus vel fermentum ac, bibendum ut turpis.
Surgery Recommended	---	Lorem ipsum dolor sit amet.

April 15th, 2011

Doris Hammersmith, FNP

UCSF Medical Center

Primary Contact

Jennifer Klein

Phone

(415) 221-1210

e-mail

jklein@ucsfmed.org

Address

486 Mendicino Avenue
San Francisco, CA 94287

Activity

Activity	Note
Screening Mammogram	Donec massa risus, aliquet vel ornare et, dictum non odio. Sed a ligula id sapien auctor consequat ac vel enim. Curabitur at risus id lacus tempor laoreet quis at lectus.
Breast Exam	In id ante id felis interdum venenatis. Pellentesque dui urna, suscipit in placerat at, volutpat in leo. Phasellus mauris diam, commodo quis dictum eget, feugiat quis lacus. Vestibulum sit amet dictum felis. Sed elementum nunc eget

Follow-Up Activities

Follow-up & Plan	Status	Note
Dexa Bone Density Scan	Unscheduled April to July 2011	Phasellus sagittis rutrum metus, quis dignissim quam consectetur convallis. Fusce sit amet quam tellus, luctus gravida odio.
Nutritionist Consult	Unscheduled	Fusce sit amet quam tellus, luctus gravida odio.
Increase Calcium	---	E nisl venenatis adipiscing. Cras ac nisl augue. Aenean placerat dictum eros, non lobortis dolor faucibus non. Fusce rhoncus scelerisque nisi, non ullamcorper lorem consequat nec. Suspendisse mi mi, tempus vel fermentum ac, bibendum ut turpis.
Increase Daily Exercise	---	Lorem ipsum dolor sit amet.

February 21st, 2007

Donald Cohen, DO

Office Visit

December 1st, 2006

Daphne Miller, MD

Office Visit

February 7th, 2005

Daphne Miller, MD

Office Visit

January 15th, 2003

Holly Regal, MD

UCSF Medical Center

June 15th, 1990

Daphne Miller, MD

Office Visit

I want to follow up.

Your Conditions

Arthritic Degeneration

Active

Condition Name	Dates Active	Notes
Arthritic Degeneration (Left Hip)	October 2009-Present	Lorem ipsum dolor sit amet, consectetur adipiscing elit. Duis nulla ipsum, iaculis et venenatis elementum, ullamcorper vitae mauris. Donec vel urna ut nulla sodales lobortis.

Breast Cancer

Active

Condition Name	Dates Active	Notes
Breast Cancer (Left Breast)	May 2004-Present	Lorem ipsum dolor sit amet, consectetur adipiscing elit. Duis nulla ipsum, iaculis et venenatis elementum, ullamcorper vitae mauris. Donec vel urna ut nulla sodales lobortis.

Depression

Active

Condition Name	Dates Active	Notes
Depression	2001-Present	Lorem ipsum dolor sit amet, consectetur adipiscing elit. Duis nulla ipsum, iaculis et venenatis elementum, ullamcorper vitae mauris. Donec vel urna ut nulla sodales lobortis.

Asthma

Active

Condition Name	Dates Active	Notes
Asthma	1989-Present	Lorem ipsum dolor sit amet, consectetur adipiscing elit. Duis nulla ipsum, iaculis et venenatis elementum, ullamcorper vitae mauris. Donec vel urna ut nulla sodales lobortis.

Carpal Tunnel Syndrome

Inactive

Condition Name	Dates Active	Notes
Carpal Tunnel Syndrome (RSD)	2002-2003	Lorem ipsum dolor sit amet, consectetur adipiscing elit. Duis nulla ipsum, iaculis et venenatis elementum, ullamcorper vitae mauris. Donec vel urna ut nulla sodales lobortis.

I want to follow up.

Your Medications

Percocet PRN

Active

NickName	Related Condition	Refills	Dates Active	Directions
Arthrtits Meds	Arthritic Degeneration (Left Hip)	11 Refills	2010-Present	Take as needed.

Voltaren Gel PRN

Active

NickName	Related Condition	Refills	Dates Active	Directions
Arthrtits Meds	Arthritic Degeneration (Left Hip)	---	2010-Present	Apply as needed.

Albuterol PRN

Active

NickName	Related Condition	Refills	Dates Active	Directions
Asthma Medication	Asthma	11 Refills	2000-2002 2004-2005 2008-Present	Inhale as needed

Multivitamin

Active

NickName	Related Condition	Refills	Dates Active	Directions
Vitamins	Breast Cancer (Left Breast)	---	2004-Present	Take once a day with meals.

Calcium 400mg

Active

NickName	Related Condition	Refills	Dates Active	Directions
Vitamins	Breast Cancer (Left Breast)	---	2004-Present	Take 3 times a day with meals.

Citalopram 10mg

Active

NickName	Related Condition	Refills	Dates Active	Directions
Antidepressant	Depression	11 Refills	2001-Present	Take 1 tablet daily with water.

Singulair 80mg

Active

NickName	Related Condition	Refills	Dates Active	Directions
Asthma Medication	Asthma	11 Refills	2000-Present	1 po daily

Arimidex

Inactive

NickName	Related Condition	Refills	Dates Active	Directions
Prevent Cancer Recurrence	Breast Cancer (Left Breast)	---	2005-2007	Take 1 tablet twice daily with water.

I want to follow up.

Your Procedures

March 22nd, 2011

Steroidal Injection

Primary Contact

Jessica Stevenson

Phone

(403) 298-4619

e-mail

ichonos@iwwedu.org

Address

486 Mendicino Avenue
San Mateo, CA 94287

Procedure Details

Provider	Activity	Related Condition	Note
Mark O'Reilly	Steroidal Injection, left hip.	Arthritic degeneration (Left Hip)	Lorem ipsum dolor sit amet, consectetur adipiscing elit. Duis nulla ipsum, iaculis et venenatis elementum, ullamcorper vitae mauris. Donec vel urna ut nulla sodales lobortis.

January 17th, 2010

Steroidal Injection

Primary Contact

Jessica Stevenson

Phone

(403) 298-4619

e-mail

ichonos@iwwedu.org

Address

486 Mendicino Avenue
San Mateo, CA 94287

Procedure Details

Provider	Activity	Related Condition	Note
Mark O'Reilly	Steroidal Injection, left hip.	Arthritic degeneration (Left Hip)	Lorem ipsum dolor sit amet, consectetur adipiscing elit. Duis nulla ipsum, iaculis et venenatis elementum, ullamcorper vitae mauris. Donec vel urna ut nulla sodales lobortis.

September 2004-November 2004

XRT

Primary Contact

Jessica Stevenson

Phone

(403) 298-4619

e-mail

ichonos@iwwedu.org

Address

486 Mendicino Avenue
San Mateo, CA 94287

Procedure Details

Provider	Activity	Related Condition	Note
Alice Belmont	External Beam Radiation Therapy (XRT)	Breast Cancer (Left Breast)	Lorem ipsum dolor sit amet, consectetur adipiscing elit. Duis nulla ipsum, iaculis et venenatis elementum, ullamcorper vitae mauris. Donec vel urna ut nulla sodales lobortis.

July 16th, 2004

Biopsy (Left Breast)

Primary Contact

Jessica Stevenson

Phone

(403) 298-4619

e-mail

ichonos@iwwedu.org

Address

486 Mendicino Avenue
San Mateo, CA 94287

Procedure Details

Provider	Activity	Related Condition	Note
Lisa Edelstein	Sentinel Node Biopsy, left armpit.	Breast Cancer (Left Breast)	Lorem ipsum dolor sit amet, consectetur adipiscing elit. Duis nulla ipsum, iaculis et venenatis elementum, ullamcorper vitae mauris. Donec vel urna ut nulla sodales lobortis.

July 2nd, 2004

Lumpectomy + IORT

Primary Contact

Jessica Stevenson

Phone

(403) 298-4619

e-mail

ichonos@iwwedu.org

Address

486 Mendicino Avenue
San Mateo, CA 94287

Procedure Details

Provider	Activity	Related Condition	Note
Lisa Edelstein	Lumpectomy + IORT (intraoperative radiation therapy), left breast.	Breast Cancer (Left Breast)	Lorem ipsum dolor sit amet, consectetur adipiscing elit. Duis nulla ipsum, iaculis et venenatis elementum, ullamcorper vitae mauris. Donec vel urna ut nulla sodales lobortis.

I want to follow up.

Your Social History

Marijuana Use

Active

Activity	Dates Active	Notes
Marijuana Use	2004-Present	Patient reports obtaining RX to use edibles daily for pain management.

Lived in Ghana

Inactive

Activity	Dates Active	Notes
Lived in Ghana	May 1987-June 1989	Possibly exposed to infectious diseases while working in remote villages without clean water.

Cigarette Smoking

Inactive

Activity	Dates Active	Notes
Cigarette Smoking	1975-1983	In early teenage years.