Mohamad Afify AmbulatorySummary1 2023-01-16 To 2023-01-18 PDF

Data Portability for Mohamad Afify
Table of Cont ent s

Demographics
Care Team Members
Assessment
Plan of Treatment
Reason for Referral
Results
Problems
Procedures
Medical Equipment
Allergies
Medications
Vitals
Social History
Functional Status
Mental Status
Family History
Medical History
Immuniz ations
Past Encounters
Goals Section
Health Concerns Section
Advance Directives
Payers
Notes
Demographics
Sex: Male Et hnicit y: Not Hispanic or Latino
DOB: 08/13/1961 Race: White
Pref erred English Marit al st at us: Married
language:
Previous
Name:
Cont act : 9 Hunter Heath Dr, 9 HUNTER HEATH DR, N Topsail Beach, NC 28460- 8570, USA, Ph. tel:+1- (919)
818- 1596 (Primary Home) tel:+1- (919) 818- 1596 (Mobile) mailto:Meafify@gmail.com (Primary Home)
Care Team Members

Ot her
None Recorded
Assessment
No assessment recorded.
Plan of Treat ment
Re m inde rs Orde r Dat e Subm it Pro vide r De t ails
Dat e
Appoint ment s Follow up 15 01/24/2023 Mostafa Rez k, DO
02:15PM
Lab rapid strep group A, throat 11/30/2022 11/30/2022 In- House Results, For
Internal Use Only, Do
Not Delete/merge,
00000
rapid influenz a virus A + B and SARS CoV 11/30/2022 11/30/2022 In- Office Order,
+ SARS CoV 2 Ag panel, IA, upper Internal Use Only DO
respiratory specimen Not Attach
Compendium DO Not
Attach Compendium,
Do Not Delete/merge,
00000
TSH + free T4, serum 11/30/2022 11/30/2022 Labcorp (Burlington),

1447 York Ct,
Burlington, NC, 27215,
Ph (336) 584- 5171
thyroid peroxidase (tpo) Ab, serum 11/30/2022 11/30/2022 Labcorp (Burlington),

1447 York Ct,
Ph (336) 584- 5171
thyroglobulin Ab, serum 11/30/2022 11/30/2022 Labcorp (Burlington),

1447 York Ct,
Ph (336) 584- 5171
T3, total, serum 11/30/2022 11/30/2022 Labcorp (Burlington),

1447 York Ct,
Ph (336) 584- 5171
TSH + free T4, serum 09/07/2022 09/07/2022 Labcorp (Burlington),

1447 York Ct,
Ph (336) 584- 5171
HbA1c (hemoglobin A1c), blood 09/08/2022 12/01/2022 Labcorp (Burlington),

1447 York Ct,
Ph (336) 584- 5171
CBC w/ auto diff 11/17/2021 11/17/2021 Pathgroup - PSC

Grassmere Lab
(Associated
Pathologists LLC),
1010 Airpark Ctr Dr,
Ste 101, Nashville, TN,
37217, Ph (615) 562-
9200
magnesium, serum or plasma 11/17/2021 11/17/2021 Pathgroup - PSC

Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200
CMP, serum or plasma 11/17/2021 11/17/2021 Pathgroup - PSC

Grassmere Lab
Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200
HbA1c (hemoglobin A1c), blood 11/17/2021 11/17/2021 Pathgroup - PSC

Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200
hepatic function panel, serum 09/16/2021 09/16/2021 Pathgroup - PSC

Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200
gamma- glutamyl transferase (ggt), serum 09/16/2021 09/16/2021 Pathgroup - PSC

Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200
hepatitis panel (A+B+C), acute, serum 09/16/2021 09/16/2021 Pathgroup - PSC

Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200

Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200

Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200
lipid panel, serum 09/16/2021 09/16/2021 Pathgroup - PSC

Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200
BMP, serum or plasma 09/16/2021 09/16/2021 Pathgroup - PSC

Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200

Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200

Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200

Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200

Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200
SARS CoV 2 IgG + IgM Ab panel, serum or 05/06/2021 05/06/2021 Pathgroup - PSC
plasma Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200

Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200

Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200

Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200

Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200

Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200

Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200

Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200

Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200

Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200

Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200

Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200

Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200

Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200
TSH, serum or plasma 01/16/2020 01/16/2020 Pathgroup - PSC

Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200

Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200

Grassmere Lab
(Associated
Pathologists LLC),
37217, Ph (615) 562-
9200
BMP, serum or plasma 05/20/2019 05/20/2019 Quest Diagnostics

PSC, 4388 Federal Dr,
Greensboro, NC,
27410, Ph (888) 664-
7601
CBC w/ auto diff 05/20/2019 05/20/2019 Quest Diagnostics

Greensboro, NC,
27410, Ph (888) 664-
7601
magnesium, serum or plasma 05/20/2019 05/20/2019 Quest Diagnostics

Greensboro, NC,
27410, Ph (888) 664-
7601
phosphorus, serum or plasma 05/20/2019 05/20/2019 Quest Diagnostics

Greensboro, NC,
27410, Ph (888) 664-
7601
CBC w/ auto diff 12/03/2018 12/03/2018 Quest Diagnostics

Greensboro, NC,
27410, Ph (888) 664-
7601
magnesium, serum or plasma 12/03/2018 12/03/2018 Quest Diagnostics

Greensboro, NC,
27410, Ph (888) 664-
7601
CMP, serum or plasma 12/03/2018 12/03/2018 Quest Diagnostics

Greensboro, NC,
27410, Ph (888) 664-
7601
HbA1c (hemoglobin A1c), blood 12/03/2018 12/03/2018 Quest Diagnostics

Greensboro, NC,
27410, Ph (888) 664-
7601
lipid panel, serum 12/03/2018 12/03/2018 Quest Diagnostics

Greensboro, NC,
27410, Ph (888) 664-
7601
Ref erral general surgeon referral - 60 yo M with hx 04/05/2022 04/05/2022 Nhrmc General
of Hernia sx with mesh placement Surgery Specialists,
1725 New Hanover
Medical Park Dr,
Wilmington, NC,
28401, Ph (910) 662-
9300
gastroenterologist referral - 6 0 yo M with 09/16/2021 09/16/2021 Hanover

worsening LFT's, multiple evaluations and Gastroenterology-
persistent Odegn, 7420 Market
St, Wilmington, NC,
28411, Ph (910) 662-
8300
ENT referral - 59 yo M with Worsening B/L 05/06/2021 05/06/2021 Wilmington Ear Nose &
hearing loss without pain Throat, 2311 Delaney
Ave, Wilmington, NC,
28403, Ph (910) 762-
8754
gastroenterologist referral 04/15/2020 04/15/2020 Wilmington

Gastroenterology,
5115 Oleander Dr,
Wilmington, NC,
28403, Ph (910) 362-
1011
cardiologist referral 11/13/2019 11/13/2019 Cape Fear Heart

Associates- Novant
Health Heart And
Vascular, 1415
Physicians Dr,
Wilmington, NC,
28403, Ph (910) 662-
9500
cardiologist referral 05/20/2019 05/20/2019 Cape Fear Heart

Associates- Novant
Health Heart And
Vascular, 1415
Physicians Dr,
Wilmington, NC,
28403, Ph (910) 662-
9500
physical therapy neck referral 04/29/2019 04/29/2019
ENT referral 08/28/2018 08/28/2018 Wilmington, 2311

Delaney Ave,
Wilmington, NC,
28403, Ph (910) 762-
8754
ENT referral 12/28/2017 12/28/2017 Wilmington, 2311

Delaney Ave,
Wilmington, NC,
28403, Ph (910) 762-
8754
orthopedic referral 10/24/2017 10/24/2017 Emerge Ortho, 3787

Shipyard Blvd,
Wilmington, NC,
28403, Ph (910) 332-
3800
orthopedic referral 05/16/2017 05/16/2017 Emerge Ortho, 3787

Shipyard Blvd,
Wilmington, NC,
28403, Ph (910) 332-
3800
Procedures None recorded.
Surgeries None recorded.
Imaging US, thyroid - new onset of dysphagia, 11/30/2022 11/30/2022 New Hanover Regional
choking sensation with lying down, Medical Center Central
hoarseness, and paresthesias surrounding Scheduling, 2131 S
thyroid. H/o suspicious thyroid nodule 17th St, Wilmington,
9/2022 NC, 28401, Ph (910)
667- 8777
US, thyroid 09/07/2022 09/07/2022 New Hanover Regional

Medical Center Central
Scheduling, 2131 S
17th St, Wilmington,
NC, 28401, Ph (910)
667- 8777
LDCT, chest, for lung cancer screening 11/17/2021 11/17/2021 New Hanover Regional
Scheduling, 2131 S
NC, 28401, Ph (910)
667- 8777
NM, hepatobiliary scan, w/ CCK - 11/17/2021 11/17/2021 New Hanover Regional

Worsening Abdominal pain and hx of liver Medical Center Central
steatosis Scheduling, 2131 S
NC, 28401, Ph (910)
667- 8777
electrocardiogram 05/20/2019 05/20/2019 In- House Results, For

Internal Use Only, Do
Not Delete/merge,
00000
XR, cervical spine, 2 or 3 view 04/29/2019 04/29/2019 New Hanover Regional

Scheduling, 2131 S
NC, 28401, Ph (910)
667- 8777
XR, shoulder, 2 or more view 04/29/2019 04/29/2019 New Hanover Regional

Scheduling, 2131 S
NC, 28401, Ph (910)
667- 8777
LDCT, chest, for lung cancer screening - 04/03/2019 04/03/2019 New Hanover Regional
57 yo M former smoker elects LDCT and Medical Center Central
has had shared decisiion making in the Scheduling, 2131 S
office. Physician order is being faxed 17th St, Wilmington,
separately. NC, 28401, Ph (910)
667- 8777
Medicat ion Medrol (Pak) 4 mg tablets in a dose pack 11/30/2022 11/30/2022 CVS/Pharmacy #7550
Orders
pantopraz ole 20 mg tablet,delayed 10/11/2022 10/11/2022 CVS/Pharmacy #7550

release
alpraz olam 0.5 mg tablet 10/11/2022 10/11/2022 CVS/Pharmacy #7550
lisinopril 20 mg- hydrochlorothiaz ide 12.5 09/07/2022 09/07/2022 CVS/Pharmacy #7550

mg tablet

release
metformin ER 500 mg tablet,extended 09/07/2022 09/08/2022 CVS/Pharmacy #7550

release 24 hr

mg tablet

release

mg tablet

release

mg tablet

release

mg tablet

release
pantopraz ole 40 mg tablet,delayed 10/02/2019 10/02/2019

release
hydrochlorothiaz ide 12.5 mg tablet 07/03/2019 07/03/2019

release
alpraz olam 0.5 mg tablet 07/03/2019 07/03/2019

release

release

release
meloxicam 15 mg tablet 05/16/2017 05/16/2017

release

release

release

release
Cortisporin 3.5 mg/mL- 10,000 unit/mL- 1 % 11/14/2014 11/14/2014

ear solution
ranitidine 150 mg tablet 09/11/2014 09/14/2014
Patient Targets
Enco unt e r Inst ruct io ns Go als
Dat e
11/30/2022
10/11/2022
09/07/2022
04/05/2022
11/17/2021
09/16/2021
06/17/2021
05/06/2021
12/23/2020
06/17/2020
04/22/2020
04/15/2020
On March 11, 2020, the World Health Organiz ation declared the
COVID- 19 (Novel Coronavirus) viral disease to be a pandemic. As a
result of this emergency, a rapidly evolving situation, practice
patterns for physicians, physician assistants, and nurse practitioners
are shifting to accommodate the need to treat in conjunction with
unprecedented guidance from federal, state, and local authorities—
which include, but are not limited to, self- quarantines and/or
limiting physical proximity to others under any number of
circumstances.
It is within this context (and with the understanding that this
method of patient encounter is in the patient’s best interest as well
as the health and safety of other patients and the public) that
“telehealth” is being provided for this patient encounter rather than
a face- to- face visit.

This patient encounter is appropriate and reasonable under the
circumstances given the patient’s particular presentation at this
time. The patient has been advised of the potential risks and
limitations of this mode of treatment (including, but not limited to,
the absence of in- person examination) and has agreed to be treated
in a remote fashion in spite of them.
Any and all of the patient’s/patient’s family’s questions on this
issue have been answered, and I have made no promises or
guarantees to the patient. The patient has also been advised to
contact this office for worsening conditions or problems, and
seek emergency medical treatment and/or call 911 if the patient
deems either necessary.
01/15/2020
11/13/2019
10/02/2019
07/03/2019
05/20/2019
04/29/2019
04/03/2019
12/03/2018
08/28/2018 As above
CBC, CMP, LIPID, TSH next week
12/28/2017 As above
10/24/2017 As above
LFT today
08/22/2017 As above
LFT, TSH next visit
05/16/2017 As above
01/10/2017 As above
CBC, CMP, LIPID, TSH in 2 weeks
07/12/2016 As above
01/12/2016
10/06/2015 As above
LFT today
05/28/2015
CBC, CMP, LIPID, PSA next week
11/21/2014 Patient to RTO or to nearest ED if sx fail to improve or worsen. Take all medications as directed.
Notify office of any negative reaction to medications or change in health status.
avoid use of q- tips. recogniz e that things such as ear plugs, headphones, or bluetooth can cause
cerumen impaction. instructed on debrox and flushing with bulb syringe with warm water on regular
basis, but not while inflamed currently.
11/14/2014 Patient to RTO or to nearest ED if sx fail to improve or worsen. Take all medications as directed.
Notify office of any negative reaction to medications or change in health status.
avoid use of q- tips. recogniz e that things such as ear plugs, headphones, or bluetooth can cause
cerumen impaction. instructed on debrox and flushing with bulb syringe with warm water on regular
basis, but not while inflamed currently.
09/11/2014 As above. Continue current treatment plan.

Reason f or Ref erral

None Reported.
Result s
Cre at e d Obse rvat io n Nam e De script io n Value Unit Range Abno rm al Pro vide r De t ail
Dat e Dat e Flag
01/17/2023 01/17/2023 CBC w/ auto diff WBC 4.7 x10e3/uL 3.4- Labcorp
10.8 (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/17/2023 CBC w/ auto diff RBC 5.47 x10e6/uL 4.14- Labcorp
5.80 (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/17/2023 CBC w/ auto diff hemoglobin 15.7 g/dL 13.0- Labcorp
17.7 (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/17/2023 CBC w/ auto diff hematocrit 45.9 % 37.5- Labcorp

51.0 (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/17/2023 CBC w/ auto diff MCV 84 fL 79- Labcorp

97 (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/17/2023 CBC w/ auto diff MCH 28.7 pg 26.6- Labcorp

33.0 (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/17/2023 CBC w/ auto diff MCHC 34.2 g/dL 31.5- Labcorp
35.7 (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/17/2023 CBC w/ auto diff RDW 13.2 % 11.6- Labcorp

15.4 (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/17/2023 CBC w/ auto diff platelets 233 x10e3/uL 150- Labcorp
450 (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/17/2023 CBC w/ auto diff neutrophils 58 % not Labcorp

estab. (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/17/2023 CBC w/ auto diff lymphs 31 % not Labcorp

estab. (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/17/2023 CBC w/ auto diff monocytes 8 % not Labcorp

estab. (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/17/2023 CBC w/ auto diff eos 2 % not Labcorp

estab. (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/17/2023 CBC w/ auto diff basos 1 % not Labcorp

estab. (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/17/2023 CBC w/ auto diff immature cells np Labcorp

(Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
(706) 322- 4253
01/17/2023 01/17/2023 CBC w/ auto diff neutrophils 2.7 x10e3/uL 1.4- Labcorp
(absolute) 7.0 (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/17/2023 CBC w/ auto diff lymphs (absolute) 1.4 x10e3/uL 0.7- Labcorp
3.1 (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/17/2023 CBC w/ auto diff monocytes(absolute) 0.4 x10e3/uL 0.1- Labcorp
0.9 (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/17/2023 CBC w/ auto diff eos (absolute) 0.1 x10e3/uL 0.0- Labcorp
0.4 (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/17/2023 CBC w/ auto diff baso (absolute) 0.0 x10e3/uL 0.0- Labcorp
0.2 (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/17/2023 CBC w/ auto diff immature 0 % not Labcorp

granulocytes estab. (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/17/2023 CBC w/ auto diff immature grans 0.0 x10e3/uL 0.0- Labcorp
(abs) 0.1 (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/17/2023 CBC w/ auto diff NRBC np Labcorp

(Columbus Ga
Lab)
1920 Warm
Springs Rd,
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/17/2023 CBC w/ auto diff hematology np Labcorp

comments: (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/18/2023 CMP, serum or glucose 131 mg/dL 70- above Labcorp
plasma 99 high (Columbus Ga
normal Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/18/2023 CMP, serum or BUN 19 mg/dL 8- 27 Labcorp

plasma (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/18/2023 CMP, serum or creatinine 1.07 mg/dL 0.76- Labcorp

plasma 1.27 (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/18/2023 CMP, serum or eGFR 79 mL/min/1.73 >59 Labcorp

plasma (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/18/2023 CMP, serum or BUN/creatinine ratio 18 10- 24 Labcorp

plasma (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/18/2023 CMP, serum or sodium 141 mmol/L 134- Labcorp

plasma 144 (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/18/2023 CMP, serum or potassium 5.1 mmol/L 3.5- Labcorp

Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/18/2023 CMP, serum or chloride 100 mmol/L 96- Labcorp

plasma 106 (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/18/2023 CMP, serum or carbon dioxide, total 25 mmol/L 20- 29 Labcorp
plasma (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/18/2023 CMP, serum or calcium 10.0 mg/dL 8.6- Labcorp

Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/18/2023 CMP, serum or protein, total 7.4 g/dL 6.0- Labcorp
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/18/2023 CMP, serum or albumin 4.9 g/dL 3.8- above Labcorp
plasma 4.8 high (Columbus Ga
normal Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/18/2023 CMP, serum or globulin, total 2.5 g/dL 1.5- Labcorp
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/18/2023 CMP, serum or A/G ratio 2.0 1.2- Labcorp

Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/18/2023 CMP, serum or bilirubin, total 0.6 mg/dL 0.0- Labcorp
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/18/2023 CMP, serum or alkaline 43 IU/L 44- below Labcorp

plasma phosphatase 121 low (Columbus Ga
normal Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/18/2023 CMP, serum or AST (SGOT) 34 IU/L 0- 40 Labcorp

plasma (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/18/2023 CMP, serum or ALT (SGPT) 62 IU/L 0- 44 above Labcorp

plasma high (Columbus Ga
normal Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/18/2023 lipid panel, cholesterol, total 172 mg/dL 100- Labcorp
serum 199 (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/18/2023 lipid panel, triglycerides 55 mg/dL 0- 149 Labcorp

serum (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/18/2023 lipid panel, HDL cholesterol 56 mg/dL >39 Labcorp

serum (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/18/2023 lipid panel, VLDL cholesterol cal 11 mg/dL 5- 40 Labcorp

serum (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/18/2023 lipid panel, LDL chol calc (nih) 105 mg/dL 0- 99 above Labcorp
serum high (Columbus Ga
normal Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/18/2023 lipid panel, comment: np Labcorp

serum (Columbus Ga
Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/18/2023 HbA1c hemoglobin A1C 6.3 % 4.8- above Labcorp

(hemoglobin 5.6 high (Columbus Ga
A1c), blood normal Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/18/2023 HbA1c estim. avg glu (EAG) 134 mg/dL Labcorp
(hemoglobin (Columbus Ga
A1c), blood Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
01/17/2023 01/18/2023 magnesium, magnesium 2.0 mg/dL 1.6- Labcorp

serum or 2.3 (Columbus Ga
plasma Lab)
1920 Warm
Springs Rd,
Columbus, GA,
31904, Ph
(706) 322- 4253
Result Notes
None recorded.
Problems
Nam e St at us Onse t Dat e
Gastroesophageal reflux disease Active
Anxiety disorder Active
Wax in ear canal Completed
Benign hypertension Active
Liver function tests abnormal Active
Nonalcoholic steatohepatitis Active
Hyperglycemia Active 10/24/2017
Degeneration of cervical intervertebral disc Active 05/16/2019
Intermittent palpitations Active 05/20/2019
Overweight Active 05/20/2019
Problem Notes
None recorded.
Procedures
Surgical History
Dat e Nam e Lat e ralit y St at us
11/14/2014 Cerumen Removal completed
repair of meniscus completed
Hernia Repair completed
Imaging Results
Im aging Dat e Nam e Pe rf o rm e d by St at us
10/23/2015 ultrasound, right upper quadrant Information not available completed
04/17/2019 LDCT, chest, for lung cancer screening Information not available completed
05/16/2019 XR, cervical spine, 2 or 3 view completed
05/16/2019 XR, shoulder, 2 or more view completed
05/20/2019 electrocardiogram completed
06/27/2019 exercise stress test completed
11/30/2021 NM, hepatobiliary scan, w/ CCK completed
03/08/2022 LDCT, chest, for lung cancer screening Information not available completed
09/19/2022 US, thyroid Information not available completed
Procedure Notes
None recorded.
Medical Equipment
None Reported.
Allergies
No known drug allergies - True
Medicat ions
Nam e Sig St art Dat e St o p Dat e St at us No t e
amoxicillin 500 mg capsule 11/17/2021 completed
lisinopril 20 mg- TAKE 1 TABLET BY MOUTH EVERY DAY active

hydrochlorothiaz ide 12.5 mg
tablet
ofloxacin 0.3 % eye drops INSTILL 1 DROP IN LEFT EYE 4 TIMES A 09/07/2022 completed
DAY FOR 5 DAYS
meloxicam 15 mg tablet Take 1 tablet(s) every day by oral route with 06/20/2017 08/22/2017 completed
meals.
pantopraz ole 20 mg Take 1 tablet every day by oral route after active
tablet,delayed release meals.
oxycodone- acetaminophen 5 12/03/2018 completed

mg- 325 mg tablet
alpraz olam 0.5 mg tablet TAKE 1 TABLET BY MOUTH TWICE A DAY active
AS NEEDED
amoxicillin 875 mg tablet 11/17/2021 completed
alpraz olam 0.25 mg tablet TAKE 1 TABLET BY MOUTH 3 TIMES A 06/17/2021 completed
DAY AS NEEDED FOR ANXIETY
cephalexin 500 mg capsule 08/28/2018 completed
pantopraz ole 40 mg TAKE 1 TABLET BY MOUTH EVERY DAY IN 01/02/2023 active

tablet,delayed release EVENING AS NEEDED FOR STOMACH
PAIN
ranitidine 150 mg tablet Take 1 tablet twice a day by oral route. 09/14/2014 active
promethaz ine 25 mg tablet 12/03/2018 completed
Cortisporin 3.5 mg/mL- INSTILL 4 DROPS INTO AFFECTED EAR(S) 11/14/2014 active
10,000 unit/mL- 1 % ear BY OTIC ROUTE 3 TIMES PER DAY
solution
lisinopril 10 mg- Take 1 tablet every day by oral route. 01/15/2020 completed
hydrochlorothiaz ide 12.5 mg
tablet
methylprednisolone 4 mg TAKE 6 TABLETS ON DAY 1 WITH FOOD active

tablets in a dose pack AS DIRECTED AND DECREASE BY 1 TAB
EACH DAY FOR A TOTAL OF 6 DAYS
metformin ER 500 mg TAKE 1 TABLET BY MOUTH EVERY DAY active

tablet,extended release 24 hr WITH MEALS
neomycin 3.5 mg/g- 01/15/2020 completed

polymyxin B 10,000 unit/g-
dexameth 0.1 % eye oint
moxifloxacin 0.5 % eye 12/03/2018 completed

drops
hydrochlorothiaz ide 12.5 mg Take 1 tablet every day by oral route. 01/15/2020 completed
tablet
Suprep Bowel Prep Kit 17.5 TAKE AS DIRECTED 11/17/2021 completed

gram- 3.13 gram- 1.6 gram
oral solution
Vit als
None Recorded
Social Hist ory

Smoking St at us Former Smoker
Birth Sex Male
Funct ional St at us
Que st io n Answe r No t e
Do you have dif f icult y walking or climbing st airs? N
Do you have t ransport at ion dif f icult ies? N
Do you have dif f icult y doing errands alone? N
Are you able t o care f or yourself ? Y
Do you have dif f icult y dressing or bat hing? N
What is your exercise level? Moderate
Ment al St at us
Que st io n Answe r No t e
Do you have dif f icult y concent rat ing, remembering or making decisions? N
Family Hist ory

Nothing Reported.
Medical Hist ory
Co ndit io n Re spo nse
Seiz ures/Epilepsy N
GI Problems N
Anesthesia Complications N
Kidney Stones N
Breast Cancer N
Thrombophilias N
Bedwetting N
Tuberculosis N
Heart Problems/Murmur N
Infertility N
Congenital Anomalies N
Anxiety Disorder Y
Pre- Eclampsia N
Hyperthyroidism N
Asthma N
Muscle, Joint, or Bone Problems N
Stroke N
Blood Diseases N
Diabetes N
Autism Spectrum Disorder (ASD) N
Constipation N
Head Injury/Concussion N
Pulmonary Embolism N
Cancer N
ADHD N
Ecz ema N
Coronary Artery Disease N
Birth Defects or Inherited Disease N
Thyroid Problems N
Mental Disorder N
Hepatitis N
Blood Transfusion N
Heart Disease N
Vision or Eye Problems N

AIDS/HIV N
Ovarian Cancer N
Lung Disease N
Obesity N
Depression N
Hypothyroidism N
Reflux/GERD Y
Varicosities N
mrsa exposure N
Chicken Pox N
Eating Disorder N
Fibromyalgia N
Bladder or Kidney Problems N
Allergies N
Hospitaliz ations N
Hospital Admission other than birth N
Anemia N
Breast Problem N
Hypertension N
Ear or Hearing Problems N
COPD N
Kidney Disease N
Diverticulitis N
High Cholesterol N
Developmental or Behavioral Disorders N
Other N
Endometriosis N
Skin Problems N
Osteoporosis N
Arthritis N
Liver Disease N
Polyps N
Gout N
Heart Problems N
Abuse/Domestic Violence N
Mental Illness N
Mental Illness N
Headaches N
Congestive Heart Failure (CHF) N
Immunizat ions
None recorded.
Past Encount ers

Enco unt e r ID Pe rf o rm e r Lo cat io n Enco unt e r dat e Diagno sis/Indicat io n
93725 Mostafa Rez k, DO HFM_Hampstead 01/17/2023
144 Merchant Circle Ste 100
HAMPSTEAD, NC 28443- 5039
Goals Sect ion

Go al De script io n St at us St art Dat e Updat e d by Updat e d o n
None Recorded
Healt h Concerns Sect ion

Re lat e d Obse rvat io n
None Recorded
Co nce rn St at us Updat e d by Updat e d o n
None Recorded
Advance Direct ives

Dire ct ive
None Recorded
Payers
None recorded.
Not es
None Recorded

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Table of Cont ent s

Care Team Members

TSH + free T4, serum 11/30/2022 11/30/2022 Labcorp (Burlington),

thyroid peroxidase (tpo) Ab, serum 11/30/2022 11/30/2022 Labcorp (Burlington),

thyroglobulin Ab, serum 11/30/2022 11/30/2022 Labcorp (Burlington),

T3, total, serum 11/30/2022 11/30/2022 Labcorp (Burlington),

TSH + free T4, serum 09/07/2022 09/07/2022 Labcorp (Burlington),

HbA1c (hemoglobin A1c), blood 09/08/2022 12/01/2022 Labcorp (Burlington),

CBC w/ auto diff 11/17/2021 11/17/2021 Pathgroup - PSC

magnesium, serum or plasma 11/17/2021 11/17/2021 Pathgroup - PSC

CMP, serum or plasma 11/17/2021 11/17/2021 Pathgroup - PSC

HbA1c (hemoglobin A1c), blood 11/17/2021 11/17/2021 Pathgroup - PSC

hepatic function panel, serum 09/16/2021 09/16/2021 Pathgroup - PSC

gamma- glutamyl transferase (ggt), serum 09/16/2021 09/16/2021 Pathgroup - PSC

hepatitis panel (A+B+C), acute, serum 09/16/2021 09/16/2021 Pathgroup - PSC

magnesium, serum or plasma 09/16/2021 09/16/2021 Pathgroup - PSC

CBC w/ auto diff 09/16/2021 09/16/2021 Pathgroup - PSC

lipid panel, serum 09/16/2021 09/16/2021 Pathgroup - PSC

BMP, serum or plasma 09/16/2021 09/16/2021 Pathgroup - PSC

magnesium, serum or plasma 05/06/2021 05/06/2021 Pathgroup - PSC

CBC w/ auto diff 05/06/2021 05/06/2021 Pathgroup - PSC

BMP, serum or plasma 05/06/2021 05/06/2021 Pathgroup - PSC

hepatic function panel, serum 05/06/2021 05/06/2021 Pathgroup - PSC

HbA1c (hemoglobin A1c), blood 05/06/2021 05/06/2021 Pathgroup - PSC

lipid panel, serum 05/06/2021 05/06/2021 Pathgroup - PSC

magnesium, serum or plasma 12/24/2020 12/24/2020 Pathgroup - PSC

CBC w/ auto diff 12/24/2020 12/24/2020 Pathgroup - PSC

BMP, serum or plasma 12/24/2020 12/24/2020 Pathgroup - PSC

hepatic function panel, serum 12/24/2020 12/24/2020 Pathgroup - PSC

HbA1c (hemoglobin A1c), blood 12/24/2020 12/24/2020 Pathgroup - PSC

lipid panel, serum 12/24/2020 12/24/2020 Pathgroup - PSC

CMP, serum or plasma 06/17/2020 06/17/2020 Pathgroup - PSC

CMP, serum or plasma 04/22/2020 04/22/2020 Pathgroup - PSC

magnesium, serum or plasma 01/16/2020 01/16/2020 Pathgroup - PSC

CBC w/ auto diff 01/16/2020 01/16/2020 Pathgroup - PSC

CMP, serum or plasma 01/16/2020 01/16/2020 Pathgroup - PSC

TSH, serum or plasma 01/16/2020 01/16/2020 Pathgroup - PSC

HbA1c (hemoglobin A1c), blood 01/16/2020 01/16/2020 Pathgroup - PSC

lipid panel, serum 01/16/2020 01/16/2020 Pathgroup - PSC

BMP, serum or plasma 05/20/2019 05/20/2019 Quest Diagnostics

CBC w/ auto diff 05/20/2019 05/20/2019 Quest Diagnostics

magnesium, serum or plasma 05/20/2019 05/20/2019 Quest Diagnostics

phosphorus, serum or plasma 05/20/2019 05/20/2019 Quest Diagnostics

CBC w/ auto diff 12/03/2018 12/03/2018 Quest Diagnostics

magnesium, serum or plasma 12/03/2018 12/03/2018 Quest Diagnostics

CMP, serum or plasma 12/03/2018 12/03/2018 Quest Diagnostics

HbA1c (hemoglobin A1c), blood 12/03/2018 12/03/2018 Quest Diagnostics

lipid panel, serum 12/03/2018 12/03/2018 Quest Diagnostics

gastroenterologist referral - 6 0 yo M with 09/16/2021 09/16/2021 Hanover

gastroenterologist referral 04/15/2020 04/15/2020 Wilmington

cardiologist referral 11/13/2019 11/13/2019 Cape Fear Heart

cardiologist referral 05/20/2019 05/20/2019 Cape Fear Heart

physical therapy neck referral 04/29/2019 04/29/2019

ENT referral 08/28/2018 08/28/2018 Wilmington, 2311

ENT referral 12/28/2017 12/28/2017 Wilmington, 2311

orthopedic referral 10/24/2017 10/24/2017 Emerge Ortho, 3787