Nelson_ Herschel

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					Hansen, Daniel                12/04/09          Michael Cannonie, D.O.
DOB: 06/11/73


HISTORY OF PRESENT ILLNESS:
The patient is a 36-year-old male who presents today with complaints of
trouble breathing. The patient has been seen last month, diagnosed with
exacerbation of COPD. He was to follow-up but had not done so due to
the fact that he was feeling better being on the steroids. He is still
taking theophylline and Symbicort and using albuterol as needed but over
the past week he has noticed worsening of his symptoms once again. He
does still continue to smoke but he is down to three cigarettes a day.
However, it appears that he is smoking more than that. He states he is
around a lot of second-hand smoke.


PHYSICAL EXAMINATION:
Blood pressure: 112/68. Temperature: 96.9. Pulse: 94. Pulse
oximetry is 100%. Heart shows regular rate and rhythm. Lungs have
wheezing on expiration. Abdomen is soft, nontender and nondistended.
Upper and lower extremities are neurovascularly intact.


IMPRESSION:
COPD.


PLAN:
1. We will restart prednisone 60 mg for five days, then 40 mg for five
   days, then 20 mg for five days and then 10 mg for five days.
2. Refer the patient to pulmonology for further evaluation and
   recommendations.
3. We once again encouraged the patient to stop smoking.
4. He will follow up with us afterward or sooner if any problems arise.



                                                  Michael Cannonie, D.O.
                   -----------------------------------------------------
                       “I authorize my name to be electronically affixed
                        as signifying that I have dictated this report.”


                                                 Date Dictated: 12/04/09
                                              Date Transcribed: 12/07/09
                                                       Date Signed:_____
Kannberg, Ervin               12/04/09          Michael Cannonie, D.O.
DOB: 05/18/33


HISTORY OF PRESENT ILLNESS:
The patient is a 76-year-old male who presents today to follow-up on
labs. Labs are reviewed with the patient at length. All questions are
answered and results are discussed. The patient has no new complaints
at today's visit. He denies any nausea, vomiting, diarrhea, fever or
chills. He states he has been feeling better since being off of the
lisinopril.


PHYSICAL EXAMINATION:
Blood pressure: 146/82. Temperature: 96. Pulse: 68. Pulse
oximetry is 98%. Heart shows regular rate and rhythm. Lungs are clear
to auscultation. Abdomen is soft, nontender and nondistended.


IMPRESSION:
1. Hypertension.
2. Renal insufficiency with creatinine improved from 1.8 to 1.4.
3. Mixed hyperlipidemia.
4. Atrial fibrillation.


PLAN:
1. Continue current medical management.
2. The patient was counseled on his diet and advised to follow a low
   carbohydrate diet.
3. We will recheck labs in 3-4 months and recheck INR every month.
4. He will follow up with us after labs in 3-4 months or sooner if any
   problems arise.



                                                  Michael Cannonie, D.O.
                   -----------------------------------------------------
                       “I authorize my name to be electronically affixed
                        as signifying that I have dictated this report.”


                                                 Date Dictated: 12/04/09
                                              Date Transcribed: 12/07/09
                                                       Date Signed:_____
Wilcox, William               12/04/09          Michael Cannonie, D.O.
DOB: 12/25/56


HISTORY OF PRESENT ILLNESS:
The patient is a 52-year-old male who presents to the clinic today with
complaint of pain to his right leg and hip. The patient states this
started a couple of weeks ago and comes and goes but has more of a
cramping pain to the posterior aspect of his right leg and sometimes a
burning, radiating pain down into his foot. He denies any nausea,
vomiting, diarrhea or fever. No urinary or bowel complaints. He states
this started after being hospitalized for a couple of days with chest
pain and bronchitis. He denies any injury or trauma to the legs or back.


PHYSICAL EXAMINATION:
Blood pressure: 149/85. Temperature: 96.4. Pulse: 80. Heart shows
regular rate and rhythm. Lungs are clear to auscultation. The patient
is obese at 283 pounds. He does have right buttocks pain with straight
leg raise but no radiating pain to the leg. Patella and Achilles
reflexes are equal and bilateral. Strength is equal and bilateral.


IMPRESSION:
Right lower extremity sciatica.


PLAN:
1. Lodine 500 mg one pill twice a day.
2. Zanaflex 4 mg every eight hours as needed.
3. Follow up in 1-2 weeks if not better or sooner if any condition
   worsens or problems arise.



                                                  Michael Cannonie, D.O.
                   -----------------------------------------------------
                       “I authorize my name to be electronically affixed
                        as signifying that I have dictated this report.”


                                                 Date Dictated: 12/04/09
                                              Date Transcribed: 12/07/09
                                                       Date Signed:_____
Martin, Kelly                 12/04/09          Michael Cannonie, D.O.
DOB: 01/11/49


HISTORY OF PRESENT ILLNESS:
The patient is a 60-year-old male who presents to clinic today for
follow-up on labs. Labs are reviewed with the patient at length. All
questions are answered and results are discussed. The patient was once
again counseled on alcohol cessation due to elevated GGT. He does have
a new complaint of burning to bilateral feet, he states for about five
months, is more across the lateral aspect than the dorsal aspect of his
foot and into his ankles as well as in his both feet. He denies any
redness or injuries to the feet. No increased warmth. He states the pain
is more of a burning pain.


PHYSICAL EXAMINATION:
Blood pressure: 115/73. Temperature: 97.1. Pulse: 65. Pulse
oximetry is 97%. Heart shows regular rate and rhythm. Lungs are clear
to auscultation. Abdomen is soft and obese. Weight is 264 pounds.
Bilateral lower extremities are neurovascularly intact with no
surrounding erythema. No increased warmth. No swelling present.


IMPRESSION:
1. Hypertension.
2. Hyperlipidemia.
3. Elevated GGT.
4. Alcohol abuse.
5. Bilateral foot pain, possible gouty arthritis versus neuropathy due
   to alcohol abuse.


PLAN:
1. We will continue current medical management and advised the patient
   to add-on vitamin B-complex.
2. We recommended once again alcohol cessation. The patient was once
   again counseled that by continue to drink alcohol he increases his
   risk for liver disease, cirrhosis of liver and death. The patient
   states he does plan once again to cut back.
3. We will try Indocin 50 mg one pill three times a day for foot pain.
   If no better in 1-2 weeks, we will consider EMG of bilateral lower
   extremities.
4. The patient will follow up sooner if any condition worsens or
   problems arise.



                                                  Michael Cannonie, D.O.
                   -----------------------------------------------------
                       “I authorize my name to be electronically affixed
                        as signifying that I have dictated this report.”
                                                 Date Dictated: 12/04/09
                                              Date Transcribed: 12/07/09
                                                       Date Signed:_____
Bussey, Lori                    12/04/09          Michael Cannonie, D.O.
DOB: 03/11/59

HISTORY OF PRESENT ILLNESS:
The patient is a 50-year-old female who presents today as a new patient to
our office with a complaint of a sore throat and productive cough. Onset
was Tuesday morning. She also has burning on urination. She denies any
nausea, vomiting or diarrhea. She does have low-grade fever and chills.
The patient works as ___nurse and did have many ill contacts.

PAST MEDICAL HISTORY:
Bronchitis.

PAST SURGICAL HISTORY:
Cholecystectomy and hernia repair.

CURRENT MEDICATIONS:
Oral contraceptives.

ALLERGIES:
No known drug allergies.

SOCIAL HISTORY:
She denies any tobacco.    She does drink socially.

FAMILY HISTORY:
Remarkable for hypertension, stroke and COPD.

PHYSICAL EXAMINATION:
Blood pressure: 140/88. Temperature: 97.8. Pulse: 109. Pulse
oximetry is 100%. Heart is tachy-regular. Lungs are clear to
auscultation. Abdomen is soft, nontender and nondistended. Postnasal
drip and erythema to pharynx. Tympanic membranes are intact.
Urinalysis done showed 5 ketones and 10+ leukocytes, otherwise normal.

IMPRESSION:
1. Acute bronchitis.
2. Urinary tract infection.

PLAN:
1. Levaquin 500 mg once a day for seven days.
2. We will check CMP, TSH, CBC and lipids.
3. The patient will follow up after labs or sooner if any condition
   worsens or problems arise.


                                                  Michael Cannonie, D.O.
                   -----------------------------------------------------
                       “I authorize my name to be electronically affixed
                        as signifying that I have dictated this report.”
                                                 Date Dictated: 12/04/09
                                              Date Transcribed: 12/07/09
                                                       Date Signed:_____
Barzacchini, Susan             12/04/09           Michael Cannonie, D.O.
DOB: 03/19/47


HISTORY OF PRESENT ILLNESS:
The patient is a 60-year-old female who presents today with a complaint
of right ear pain. The patient states she has been seeing a dentist for
some tooth pain on the right side as well. She denies any discharge
from the ear. No decreases in hearing. No nausea, vomiting, diarrhea,
fever or chills. She currently is taking amoxicillin for tooth pain.


PHYSICAL EXAMINATION:
Blood pressure: 145/63. Temperature: 97.3. Pulse: 104. Pulse
oximetry is 94% on oxygen. Heart shows regular rate and rhythm. Lungs
are clear to auscultation. Abdomen is soft. The patient has no fluid
or erythema noted to bilateral tympanic membranes. He does have some
tooth decay noted to the right lower jaw.


IMPRESSION:
1. Tooth pain.
2. Right eustachian tube dysfunction.


PLAN:
1. We will change amoxicillin to clindamycin 150 mg two pill three times
   a day and ear pain is mostly referred from her tooth pain.
2. She will follow up with her dentist next week and follow up with us
   sooner if any condition worsens or problems arise.



                                                    Michael Cannonie, D.O.
                     -----------------------------------------------------
                         “I authorize my name to be electronically affixed
                          as signifying that I have dictated this report.”


                                                   Date Dictated: 12/04/09
                                                Date Transcribed: 12/07/09
                                                         Date Signed:_____
Bussey, Mike                  12/04/09          Michael Cannonie, D.O.
DOB: 05/14/92

HISTORY OF PRESENT ILLNESS:
The patient is a 17-year-old male who presents today as a new patient to
our office with a complaint of loss of voice, sore throat and cough. The
patient states it has been present for about 3-4 weeks. He has also been
having some congestion and allergy-like symptoms. He denies any nausea,
vomiting, diarrhea, fever or chills.

PAST MEDICAL HISTORY:
Childhood murmur and exercise-induced asthma.

PAST SURGICAL HISTORY:
None.

CURRENT MEDICATIONS:
___, which he takes two puffs before physical activity.

ALLERGIES:
No known drug allergies.

SOCIAL HISTORY:
He denies x 3.

FAMILY HISTORY:
Noncontributory.

PHYSICAL EXAMINATION:
Blood pressure: 128/54. Temperature: 96.5. Pulse: 54. Heart shows
regular rate and rhythm. Lungs are clear to auscultation. No rales,
rhonchi or wheezing. Abdomen is soft, nontender and nondistended.
Postnasal drip and erythema to pharynx. Tympanic membranes are intact.

IMPRESSION:
1. Allergic rhinitis.
2. Exercise-induced asthma.

PLAN:
1. Medrol Dosepak #1 as directed.
2. Dallergy one pill three times a day as needed.
3. Follow up in 3-4 days if not better or sooner if condition worsens
   or problems arise.


                                                  Michael Cannonie, D.O.
                   -----------------------------------------------------
                       “I authorize my name to be electronically affixed
                        as signifying that I have dictated this report.”
                                                 Date Dictated: 12/04/09
                                              Date Transcribed: 12/07/09
                                                       Date Signed:_____
Frey, Lori                    12/04/09          Michael Cannonie, D.O.
DOB: 08/01/61


HISTORY OF PRESENT ILLNESS:
The patient is a 48-year-old female who presents today with a complaint
of injury to her left wrist. The patient was at work yesterday where she
confront a shoplifter and in trying to stop the shoplifter he tried to
get by her getting to the door where she reached out and grab him it,
she was pushed down and she injured her left wrist and foreman. She
states its hurts more to lift things and is tender throughout the
forearm and into the wrist, more like a strain than she believes she
broke anything.


PHYSICAL EXAMINATION:
Blood pressure: 130/85. Temperature: 97.8. Pulse: 63. Heart is
regular. Lungs are clear. The patient has tenderness on palpation to
the left forearm as well as with tenderness on palpation as well as in
active flexion and extension of the wrist.


IMPRESSION:
_____


PLAN:
1. We will obtain x-rays of the left hand, wrist and forearm.
2. In the meantime, the patient was placed in an extended left forearm
   brace.
3. Start on Lodine 500 mg twice a day with food.
4. She will follow up with us in one week or sooner if any condition
   worsens or problems arise.



                                                  Michael Cannonie, D.O.
                   -----------------------------------------------------
                       “I authorize my name to be electronically affixed
                        as signifying that I have dictated this report.”


                                                 Date Dictated: 12/04/09
                                              Date Transcribed: 12/07/09
                                                       Date Signed:_____
Steeves, Kirsten              12/04/09           Michael Cannonie, D.O.
DOB: 12/20/63


HISTORY OF PRESENT ILLNESS:
The patient is a 46-year-old female who presents today with a complaint
of a cough. The patient was seen back in September and was diagnosed with
a bronchitis and upper respiratory infection and treated with a Z-Pak.
She states that she did feel symptoms improved for about two months but
then the symptoms have returned over the last couple of weeks. She has
more of a dry cough, nonproductive. No nausea, vomiting, diarrhea, fever
or chills. The cough is worse in the morning and worse at night when she
is at home. She states she does have ___ in her house and sometimes it
does make her have a cough.


PHYSICAL EXAMINATION:
Blood pressure: 118/69. Temperature: 98.5. Pulse: 74. Pulse
oximetry is 100%. Heart shows regular rate and rhythm. Lungs are clear
to auscultation. Abdomen is soft. Mild postnasal drip. No erythema to
the posterior pharynx. Tympanic membranes are intact. No sinus
tenderness.


IMPRESSION:
Cough, most likely due to allergic rhinitis.


PLAN:
1. We will obtain chest x-ray due to the chronic nature of the cough.
2. In the meantime, we will start Allegra 180 mg daily.
3. The patient will follow up in two weeks or sooner if any condition
   worsens or problems arise.



                                                  Michael Cannonie, D.O.
                   -----------------------------------------------------
                       “I authorize my name to be electronically affixed
                        as signifying that I have dictated this report.”


                                                  Date Dictated: 12/04/09
                                               Date Transcribed: 12/07/09
                                                        Date Signed:_____
Degroodt, Janet               12/04/09          Michael Cannonie, D.O.
DOB: 09/23/77


HISTORY OF PRESENT ILLNESS:
The patient is a 72-year-old female who presents today with a complaint
of a nosebleed. The patient states over the last 3-4 days she has had
three or four occurrences of her nose bleeding, lasting anywhere from
45 to 60 minutes and has been very difficult to stop. She is currently
on aspirin 81 mg a day but no other blood thinners. She denies any
injury or trauma.


PHYSICAL EXAMINATION:
Blood pressure: 149/86. Temperature: 98.1. Pulse: 91. Pulse oximetry
is 99%. Heart has positive systolic ejection murmur with history of
mitral valve prolapse. Lungs are clear to auscultation. Abdomen is soft.
Pharynx is clear. Tympanic membranes are intact. The patient does have
exposed vessel to the venous plexus of the right nostril.


IMPRESSION:
Epistaxis.


PLAN:
1. Refer the patient to ENT for cauterization of the venous plexus. Case
   was discussed with Dr. ___ and they agreed to see her today at 2:15.
2. She will follow up with us afterwards or sooner if any problems arise.



                                                  Michael Cannonie, D.O.
                   -----------------------------------------------------
                       “I authorize my name to be electronically affixed
                        as signifying that I have dictated this report.”


                                                 Date Dictated: 12/04/09
                                              Date Transcribed: 12/07/09
                                                       Date Signed:_____
Eaton Sr., William              12/04/09          Michael Cannonie, D.O.
DOB: 04/12/53


HISTORY OF PRESENT ILLNESS:
The patient is a 56-year-old male who presents to the clinic today to
follow-up on labs. However, labs were from back in September. The
patient is a poorly controlled diabetic with elevated triglycerides and
cholesterol. He continues to remain overweight. He has lost eight pounds
since last seen back in May but we did make him aware that he needs a more
significant reduction than that. He was made aware that it is hard to
make decisions based on his current management over labs from three
months ago and informed him that he redo blood testing. He states that
it has been difficult for him to come us due to his schedule and he
believes he maybe benefit by seeing someone closer to his house that
might have hours more in align with his schedule.


PHYSICAL EXAMINATION:
Blood pressure: 137/85. Temperature: 96.8. Pulse: 83. Weight:         337
pounds. Heart shows regular rate and rhythm. Lungs are clear to
auscultation. Abdomen is soft and obese.


IMPRESSION:
1. Uncontrolled type-2 diabetes.
2. Hypertension.
3. Mixed hyperlipidemia.
4. Morbid obesity.


PLAN:
1. The patient was given refills on his current medical management and
   advised to recheck labs.
2. Since he will be establishing himself with a new physician, we
   encouraged him to see that physician first so therefore they can
   order the labs and make further recommendations.
3. We did make him aware that he maybe in need of insulin therapy at
   this time.
4. Further recommendations are to follow pending his new evaluation
   with new primary care provider.



                                                    Michael Cannonie, D.O.
                     -----------------------------------------------------
                         “I authorize my name to be electronically affixed
                          as signifying that I have dictated this report.”


                                                   Date Dictated: 12/04/09
                                                Date Transcribed: 12/07/09
                                                         Date Signed:_____
Baker, Loren                  12/04/09          Michael Cannonie, D.O.
DOB: 12/24/58


HISTORY OF PRESENT ILLNESS:
The patient is a 50-year-old female who presents today with a complaint
of sinus pressure and pain, which has been going on for about four weeks.
It got a little better but then worse over the past week. She denies any
nausea, vomiting, diarrhea or fever. She does have occasional chills.
No ear pain. She does have some soreness to her throat. Also, she needs
refills on her thyroid and blood pressure medications. She also has a
rash to her abdominal area, which she would like to have evaluated.


PHYSICAL EXAMINATION:
Blood pressure: 122/80. Temperature: 97.7. Pulse: 105. Pulse
oximetry is 92%, which is normal for the patient. Heart shows regular
rate and rhythm. Lungs are clear to auscultation. Abdomen is soft.
Postnasal drip and erythema to pharynx. Tenderness on palpation over
frontal sinuses. Tympanic membranes are intact. The patient does have
a well-demarcated erythematous rash just distal to the umbilicus.


IMPRESSION:
1. Acute frontal sinusitis.
2. Hypertension.
3. Hypothyroidism.
4. Atopic dermatitis.
5. Hyperlipidemia.


PLAN:
1. We will start Biaxin 500 mg one pill twice a day for 10 days. The
   patient is advised to hold her Crestor until the Biaxin is completed.
2. Dallergy one pill twice a day.
3. Triamcinolone cream 0.1% to the area twice a day. The patient was
   counseled to only use a small amount very sparingly.
4. We will check labs per order.
5. The patient will follow up after labs in 1-2 weeks or sooner if any
   condition worsens or problems arise.



                                                  Michael Cannonie, D.O.
                   -----------------------------------------------------
                       “I authorize my name to be electronically affixed
                        as signifying that I have dictated this report.”


                                                 Date Dictated: 12/04/09
                                              Date Transcribed: 12/07/09
                                                       Date Signed:_____
Chouinard, Lucille              12/04/09          Michael Cannonie, D.O.
DOB: 07/20/74


HISTORY OF PRESENT ILLNESS:
The patient is a 35-year-old female who presents today with a complaint
of pain to her right armpit. The patient states this started about one
week ago and is not getting any better, actually she needed to take a
Norco to help her sleep last night. She states it is very tender to
touch. No pain into her arm but she states the place where she had
possible shingles to the right antecubital space one month ago the rash
is still present and is still itchy. She denies any nausea, vomiting,
diarrhea, fever or chills.


PHYSICAL EXAMINATION:
Blood pressure: 117/66. Temperature: 97.8. Pulse: 69.         Heart shows
regular rate and rhythm. Lungs are clear to auscultation.     Abdomen is
soft. There is tenderness on palpation to the right axilla.   No erythema.
No nodularities noted. No surrounding erythema or sites of    possible
drainage present.


IMPRESSION:
Right axillary pain.


PLAN:
1. We will obtain ultrasound of the right axillary region.
2. In the meantime, we will start the patient on Medrol Dosepak #1 as
   directed and doxycycline 100 mg twice a day.
3. She will follow up after the above or sooner if any problems arise.



                                                    Michael Cannonie, D.O.
                     -----------------------------------------------------
                         “I authorize my name to be electronically affixed
                          as signifying that I have dictated this report.”


                                                   Date Dictated: 12/04/09
                                                Date Transcribed: 12/07/09
                                                         Date Signed:_____
Mehrer, Rebecca               12/04/09          Michael Cannonie, D.O.
DOB: 11/20/84


HISTORY OF PRESENT ILLNESS:
The patient is a 25-year-old female who presents to the clinic today with
a complaint of a sore throat. The patient states this started about 3-4
days ago. Her children at home have been diagnosed with strep throat.
She has no nausea, vomiting or diarrhea. She did have fever and chills.


PHYSICAL EXAMINATION:
Blood pressure: 126/72. Temperature: 97.5. Pulse: 109. Pulse
oximetry is 98% on room air. Heart shows regular rate and rhythm. Lungs
are clear to auscultation. Abdomen is soft, nontender and nondistended.
Postnasal drip and erythema to the pharynx. Tympanic membranes are
intact. Tonsils are slightly swollen.


IMPRESSION:
Pharyngitis.


PLAN:
1. Z-Pak #1 as directed.
2. The patient will follow up in 3-4 days if not better or sooner if
   condition worsens or problems arise.



                                                  Michael Cannonie, D.O.
                   -----------------------------------------------------
                       “I authorize my name to be electronically affixed
                        as signifying that I have dictated this report.”


                                                 Date Dictated: 12/04/09
                                              Date Transcribed: 12/07/09
                                                       Date Signed:_____
Cross, Isabelle               12/04/09           Michael Cannonie, D.O.
DOB: 04/26/02


HISTORY OF PRESENT ILLNESS:
The patient is a 7-year-old female who presents today with her mother with
a complaint of sore throat and ear pain. The patient states this started
about 2-3 days ago and is not getting better. She also had a flu-like
illness last week and now has come down with this head cold. Also, mother
is concerned due to the fact that she started having a body odor. She
states that she has read this could be a sign of early puberty and she
is very concerned due to the fact her daughter is only seven years old.
Lastly, she is also concerned to the healing of her daughter’s lip, which
about eight months ago she suffered a dog bite to her lip, which was
repaired and she is concerned about the healing of the area and swelling
to the upper lip.


PHYSICAL EXAMINATION:
Temperature: 99.1. Postnasal drip and erythema to pharynx. Tympanic
membranes are intact with positive erythema to the left. Heart shows
regular rate and rhythm. Lungs are clear to auscultation. Abdomen is
soft.


IMPRESSION:
1. Upper respiratory infection.
2. Body odor.
3. Wound to upper lip.


PLAN:
1. Omnicef 125/5 cc 7 cc twice a day for 10 days.
2. Refer the patient to gynecology for evaluation of body odor and
   early puberty.
3. The patient was referred to a plastic surgeon for further evaluation
   of the healing of her lip.
4. She will follow up with us in 3-4 days if not better or sooner if
   any problems arise.



                                                  Michael Cannonie, D.O.
                   -----------------------------------------------------
                       “I authorize my name to be electronically affixed
                        as signifying that I have dictated this report.”


                                                  Date Dictated: 12/04/09
                                               Date Transcribed: 12/07/09
                                                        Date Signed:_____
Town, Gary                    12/04/09          Michael Cannonie, D.O.
DOB: 08/13/64


HISTORY OF PRESENT ILLNESS:
The patient is a 45-year-old male who presents today for follow-up on
labs. Labs are reviewed with the patient at length. All questions are
answered and results are discussed. The patient denies any new
complaints. No nausea, vomiting, diarrhea, fever or chills. He states
he has pretty much stopped smoking but is little concerned due to the
fact he actually gained some weight.


PHYSICAL EXAMINATION:
Blood pressure: 152/78. Temperature: 97.8. Pulse: 70. Heart shows
regular rate and rhythm. Lungs are clear to auscultation. Abdomen is
soft and morbidly obese. The patient is 392 pounds. Upper and lower
extremities are neurovascularly intact.


IMPRESSION:
1. Type-2 diabetes, currently controlled with diet, A1c is 6.2.
2. Hypertension.
3. Allergic rhinitis.


PLAN:
1. We will increase his Allegra to 180 mg twice a day, which he states
   he has done better on.
2. He will continue other medicines as directed.
3. We will recheck labs in January.
4. The patient will follow up afterwards or sooner if any problems arise.



                                                  Michael Cannonie, D.O.
                   -----------------------------------------------------
                       “I authorize my name to be electronically affixed
                        as signifying that I have dictated this report.”


                                                 Date Dictated: 12/04/09
                                              Date Transcribed: 12/07/09
                                                       Date Signed:_____

				
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