CPT Code 99091

Patient Name : Alexander, Laurie

Gender : Female

Birth Date : 01/28/1968

RX History

AZITHROMYCIN 250MG TABLETS 6-PAK

BACLOFEN 10MG TABLETS
FLOWFLEX COVID-19 AG HOME TEST KIT
OZEMPIC 0.25/0.5 PEN
LEVOTHYROXINE 0.175MG (175MCG) TABS
GABAPENTIN 600MG TABLETS
ALCOHOL SWAB PAD
ROSUVASTATIN 10MG TABLETS
TRUE METRIX BLOOD GLUCOSE TEST
STRP
BD NANO 2NDG 32GX4MM PEN
ONDANSETRON ODT 8MG TABLETS
MUCUS RELIEF 600 MG TB12
True Metrix Glucose Test Strip
CALCIUM/VITAMIN D3 600-10 MG-MCG
TABS
magnesium 250 mg (as magnesium oxide) tablet
BD Ultra-Fine Nano Pen Needle 32 gauge x 5/32"
levothyroxine 200 mcg tablet
AMLODIPINE 10MG TAB
ASPIRIN LOW DOSE 81 MG TBEC
ROSUVASTATIN 10MG TAB
potassium chloride ER 10 mEq tablet,extended
release
True Metrix Glucose Meter
PREDNISONE 10MG TAB
FUROSEMIDE 20MG TAB
HYDROXYZINE HCL 10 MG TABS
POTASSIUM CHLORIDE ER 10 ME
ACCU-CHEK AVIVA PLUS TS
VALACYCLOVIR HCL 1 GM TABS
BACLOFEN 10MG TABLETS
LEVOFLOXACIN 750MG TAB
PROMETHAZINE 12.5MG TAB
OMEPRAZOLE DR 20 MG CAPSULE
GABAPENTIN 600MG TAB
AZITHROMYCIN 250MG TAB
PREDNISONE 20MG TAB
DICLOFENAC SODIUM 1 % GEL
IPRAT-ALBUT 0.5-3(2.5) MG/3
ALBUTEROL SULFATE HFA 108 (
PROMETHAZINE 25MG TAB

Total Record/s: 24

The patient is a 54-year-old female who presented with normotension. Patient advised to
make an appointment with the doctor and to check her fasting blood sugar to determine if she
is taking the appropriate dosage and taking her diabetic medications at the right time.
She has been diagnosed with Asthma, Type 2 DM, and hypertension and is being
controlled/treated by her primary physician with the following medications along with healthy
eating and lifestyle changes.
Heart Rate
No readings found

Blood Pressure
No readings found

Glucose Reading
No readings found

September 1, 2022 (late entry)

No data was received for September, but the patient was advised to use her devices. Managed to
educate the patient by sending educational articles, and links patient was educated regarding proper
nutrition. The patient was educated on eating healthy foods such as fruits, and vegetables, low
sodium content in foods, and decreasing fatty food intake. The patient was encouraged to be
physically active such as walking daily to improve her endurance and activity tolerance.

Date: October 1 , 2022 (late entry)

Heart Rate
No readings found

Blood Pressure
No readings found

Glucose Reading
No readings found

Summary:
Reiterated the importance of using the devices to monitor her health. Sent a link of Research
done by Blacher et al. that explains how pulse pressure is a significant risk factor in the
development of heart disease. The patient was diagnosed with hypertension, diabetes, and
high cholesterol and thus needs maintenance medications to improve her health condition
which he is currently taking readings using his glucometer 2x/a day before breakfast and
dinner. The patient was also advised to make an appointment with the doctor to determine if
she is taking the right dosage and if she is taking it at the right time. Her blood pressure, heart
rate, glucose readings, and pulse pressure will continue to be monitored remotely while
educating patients regarding hypertension, diabetes, and hyperlipidemia

Date: November 1, 2022 (late entry)

No data was received for November, but the patient was advised to use her devices. Managed to
educate the patient by sending educational articles, and links patient was educated regarding proper
nutrition. The patient was educated on eating healthy foods such as fruits, and vegetables, low
sodium content in foods, and decreasing fatty food intake. The patient was encouraged to be
physically active such as walking daily to improve her endurance and activity tolerance.

The patient is a 54-year-old female who presented with normotension. Patient advised to
make an appointment with the doctor and to check her fasting blood sugar to determine if she
is taking the appropriate dosage and taking her diabetic medications at the right time.
She has been diagnosed with Asthma, Type 2 DM, and hypertension and is being
controlled/treated by her primary physician with the following medications along with healthy
eating and lifestyle changes.

Heart Rate
No readings found

Blood Pressure
No readings found

Glucose Reading
No readings found

Reiterated the importance of using the devices to monitor her health. Sent a link of Research
done by Blacher et al. that explains how pulse pressure is a significant risk factor in the
development of heart disease. The patient was diagnosed with hypertension, diabetes, and
high cholesterol and thus needs maintenance medications to improve her health condition
which he is currently taking readings using his glucometer 2x/a day before breakfast and
dinner. The patient was also advised to make an appointment with the doctor to determine if
she is taking the right dosage and if she is taking it at the right time. Her blood pressure, heart
rate, glucose readings, and pulse pressure will continue to be monitored remotely while
educating patients regarding hypertension, diabetes, and hyperlipidemia

Date: December 1, 2022 (late entry)

The patient is a 54-year-old female who presented with normotension. Patient advised to
make an appointment with the doctor and to check her fasting blood sugar to determine if she
is taking the appropriate dosage and taking her diabetic medications at the right time.
She has been diagnosed with Asthma, Type 2 DM, and hypertension and is being
controlled/treated by her primary physician with the following medications along with healthy
eating and lifestyle changes.

Heart Rate
No readings found

Blood Pressure
No readings found

Glucose Reading
No readings found

Reiterated the importance of using the devices to monitor her health. Sent a link of Research
done by Blacher et al. that explains how pulse pressure is a significant risk factor in the
development of heart disease. The patient was diagnosed with hypertension, diabetes, and
high cholesterol and thus needs maintenance medications to improve her health condition
which he is currently taking readings using his glucometer 2x/a day before breakfast and
dinner. The patient was also advised to make an appointment with the doctor to determine if
she is taking the right dosage and if she is taking it at the right time. Her blood pressure, heart
rate, glucose readings, and pulse pressure will continue to be monitored remotely while
educating patients regarding hypertension, diabetes, and hyperlipidemia

Heart Rate
No readings found

Blood Pressure
No readings found

Glucose Reading
No readings found

Summary:
Reiterated the importance of using the devices to monitor her health. Sent a link of Research
done by Blacher et al. that explains how pulse pressure is a significant risk factor in the
development of heart disease. The patient was diagnosed with hypertension, diabetes, and
high cholesterol and thus needs maintenance medications to improve her health condition
which he is currently taking readings using his glucometer 2x/a day before breakfast and
dinner. The patient was also advised to make an appointment with the doctor to determine if
she is taking the right dosage and if she is taking it at the right time. Her blood pressure, heart
rate, glucose readings, and pulse pressure will continue to be monitored remotely while
educating patients regarding hypertension, diabetes, and hyperlipidemia