AMGT_Ascension Medical Group Temple • 1905 S W H K Dodgen Loop, Temple TX 76502-1814 PHELPS,

Kandyce N (id #1502426, dob: 03/14/1989)

Ascension Medical Group Temple

1905 S W H K Dodgen Loop
Temple, TX 76502-1814
Phone: (254) 298-2800, Fax: (254) 298-2810

Date: 01/02/2024

Dear Kandyce Phelps,

The following is a summary of your visit today. If you have any questions, please contact our office.

Sincerely,

Electronically Signed by: KAMALPREET KAUR SINGH M.D

Patient Care Summary for Kandyce N Phelps

Most Recent Encounter

01/02/2024 Kamalpreet K Singh: 1905 S W H K Dodgen Loop, Temple, TX 76502-1814, Ph. tel:+1-254-2982800

Reason for Visit

vitamin D deficiency
galactorrhea b12 deficiency

Assessment and Plan

The following list includes any diagnoses that were discussed at your visit.
1. Galactorrhea not associated with childbirth
• comprehensive metabolic panel + E-GFR
• prolactin
• ultrasensitive TSH
• CBC w/auto diff with platelets
• macroprolactin
• cabergoline 0.5 mg tablet
2. Insulin resistance
• insulin
3. Vitamin D deficiency
4. Loss of hair

Discussion Note: None recorded.

Patient educational handouts: No information available.

Plan of Care
Reminders Provider
on or around
Appointments Return to Office 03/02/2024 Kamalpreet K Singh, M.D

Comprehensive Metabolic Clinical Pathology Laboratories - Main Lab (Blood Not

Lab 01/02/2024
Panel + E-GFR Drawn At This Location)

Clinical Pathology Laboratories - Main Lab (Blood Not

Prolactin 01/02/2024
Drawn At This Location)

Clinical Pathology Laboratories - Main Lab (Blood Not

Ultrasensitive TSH 01/02/2024
Drawn At This Location)
Clinical Pathology Laboratories - Main Lab (Blood Not
CBC W/auto Diff with Platelets 01/02/2024
Drawn At This Location)
Clinical Pathology Laboratories - Main Lab (Blood Not
Macroprolactin 01/02/2024
Drawn At This Location)

Insulin 01/02/2024 Clinical Pathology Laboratories - Temple

Referral None recorded.

Procedures None recorded.

Surgeries None recorded.

Imaging None recorded.

Current Medications

Your medical record indicates you are on the following medicine. If this list is not consistent with the medications
you are currently taking, or if you are taking additional over-the-counter medicines, please inform your provider.
Name Prescribed DateStart Date cabergoline 0.5 mg tablet
01/02/2024
Take 1 tablet twice a week by oral route.

citalopram 10 mg tablet

TAKE ONE (1) TABLET(S) BY MOUTH DAILY.

clonazepam 0.5 mg tablet

TAKE 1 TABLET EVERY DAY BY ORAL ROUTE

 Hair, Skin and Nails Advanced

TAKE 2 GUMMIES DAILY

sumatriptan 25 mg tablet
12/07/2023
Take one at onset of headache may repeat in two hours - no more that two in a 24 hour period.

topiramate 50 mg tablet
TAKE 1 TABLET BY MOUTH TWICE DAILY AS NEEDED FOR MIGRAINE HEADACHE

Medications Administered None

recorded.

Vitals
Height Weight BMI Body Surface Area
168.83 cm (5 ft 6.47 in) 84 kg (185.19 lbs) 29.5 kg/m2 1.98

Results
Lab Results

Date Name SpecimenResultInterpretationDescription Value Range StatusAddress

Clinical
Pathology
Laboratories -
Main Lab (Blood Vitamin D, 25-
Vitamin D, 25 see below Not Drawn At
12/12/2023 Hydroxy, Total, 35 NG/mL Final Oh NG/mL This Location):
Serum
Visit
Cpllabs.Com For
Location Nearest
You, Austin

Clinical
Pathology
Laboratories
Main Lab (Blood
Lipid Panel, Not Drawn At
12/12/2023 Cholesterol 123 mg/dL <200 mg/dL Final
Serum This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Triglycerides 79 mg/dL Clinical
Pathology
Laboratories
Main Lab (Blood
Not Drawn At
<150 mg/dL Final
This Location):
Visit
Cpllabs.Com For
 Location Nearest
You, Austin
Clinical
Pathology
Laboratories -

HDL 54 mg/dL Main Lab (Blood

>39 mg/dL Final Not Drawn At
Cholesterol This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Clinical
Pathology
Laboratories
Main Lab (Blood
Calc LDL Not Drawn At
53 mg/dL <100 mg/dL Final
Chol This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Clinical
Pathology
Laboratories
Main Lab (Blood
Risk Ratio Not Drawn At
0.98 ratio <3.22 ratio Final
LDL/HDL This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin

Clinical
Pathology
Laboratories
Main Lab (Blood
Macroprolactin, Not Drawn At
2.8-29.2
12/12/2023 Prolactin 7.2 NG/mL Final
NG/mL
Serum This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
% Prolactin, 102.8 % >=50.1 % Clinical
Monomeric Pathology
Laboratories
Main Lab (Blood
Not Drawn At
Final
This Location):
Visit
Cpllabs.Com For
Location Nearest
 You, Austin
Clinical
Pathology
Laboratories
Main Lab (Blood
Not Drawn At
Prolactin, 2.8-19.5 Final This Location):
Monomeric 7.4 NG/mL NG/mL Visit
Cpllabs.Com For
Location Nearest
You, Austin

Clinical
Pathology
Laboratories
Main Lab (Blood
HbA1C Not Drawn At
Hemoglobin
12/12/2023 (Hemoglobin 4.9 % 4.2-5.6 % Final
a1C
a1C), Blood This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin

Clinical
Pathology
Laboratories
Main Lab (Blood
CMP, Serum or Not Drawn At
70-99
12/12/2023 Glucose 97 mg/dL Final
mg/dL
Plasma This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Clinical
Pathology
Laboratories
Main Lab (Blood
Not Drawn At
Bun 13 mg/dL 6-20 mg/dL Final
This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Clinical
Pathology
Laboratories
Main Lab (Blood
0.60-1.30 Not Drawn At
Creatinine 0.80 mg/dL Final
mg/dL
This Location):
Visit
Cpllabs.Com For
Location Nearest
 You, Austin
Clinical
Pathology
Laboratories
Main Lab (Blood
99 >60 Not Drawn At
Egfr (2021
Final mL/min/1.73
Ckd-epi)
mL/min/1.73 This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin

Calc 16 ratio 6-28 ratio Clinical

Pathology
BUN/creat Laboratories -
Main Lab (Blood
Final Not Drawn At This
Location): Visit
Cpllabs.Com For
Location Nearest
You, Austin

Clinical
Pathology
Laboratories
Main Lab (Blood
Not Drawn At
133-146
Sodium 138 mEq/L Final
mEq/L
This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Clinical
Pathology
Laboratories
Main Lab (Blood
Not Drawn At
3.5-5.4
Potassium 4.0 mEq/L Final
mEq/L
This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Clinical
Pathology
Laboratories
Main Lab (Blood
Not Drawn At
95-107
Chloride 104 mEq/L Final
mEq/L
This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Carbon 23 mEq/L 19-31 Clinical
 Pathology
Laboratories
Main Lab (Blood
Not Drawn At
Final
mEq/L
Dioxide This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Clinical
Pathology
Laboratories
Main Lab (Blood
8.5-10.5 Not Drawn At

Calcium 9.3 mg/dL mg/dL Final This Location):

Visit
Cpllabs.Com For
Location Nearest
You, Austin
Clinical
Pathology
Laboratories
Main Lab (Blood
Not Drawn At
Protein, Total 6.4 g/dL 6.1-8.3 g/dL Final
This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Clinical
Pathology
Laboratories
Main Lab (Blood
Not Drawn At
Albumin 4.4 g/dL 3.5-5.2 g/dL Final
This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Clinical
Pathology
Laboratories
Main Lab (Blood
Not Drawn At
Calc Globulin 2.0 g/dL 1.9-3.7 g/dL Final
This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Calc A/g 2.2 ratio Clinical
Pathology
Laboratories
 Main Lab (Blood
Not Drawn At
1.0-2.6 ratio Final
This Location):
Ratio
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Clinical
Pathology
Laboratories -
Main Lab (Blood
<=1.2 Not Drawn At
Final mg/dL
This Location):
Bilirubin, Visit
Cpllabs.Com For
Total 0.3 mg/dL Location Nearest
You, Austin
Clinical
Pathology
Laboratories
Main Lab (Blood
Alkaline Not Drawn At
84 U/L 40-114 U/L Final
Phosphatase This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Clinical
Pathology
Laboratories
Main Lab (Blood
Not Drawn At
Ast 15 U/L 9-40 U/L Final
This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Clinical
12/12/2023 Insulin, Serum High Pathology
Laboratories
Main Lab (Blood
Not Drawn At
Alt 12 U/L 5-40 U/L Final
This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
TSH, Ultra- Clinical
12/12/2023 sensitive, Pathology
Serum Laboratories
Main Lab (Blood
Not Drawn At
Insulin 34 uIU/mL 2-21 uIU/mL Final
 This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Clinical
Pathology
Laboratories -
Main Lab (Blood
Ultrasensitive 0.830 0.400-4.100 Not Drawn At
Final
TSH uIU/mL uIU/mL This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Clinical
Pathology
Laboratories -
Main Lab (Blood
Not Drawn At
Prolactin, 5.0-37.0 12/12/2023 Prolactin 11.2 NG/mL Final
Serum NG/mL This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin

Clinical
Pathology
Laboratories
Main Lab (Blood
CBC W/ Auto Not Drawn At
3.5-11.0
12/12/2023 Wbc 6.6 K/uL Final
K/uL
Diff This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Clinical
Pathology
Laboratories
Main Lab (Blood
Not Drawn At
3.80-5.40
Rbc 4.27 M/uL Final
M/uL
This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Hemoglobin 13.4 g/dL 11.5-15.5 Clinical
g/dL Pathology
Laboratories
Main Lab (Blood
Not Drawn At
Final
 This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Clinical
Pathology
Laboratories
Main Lab (Blood
Not Drawn At
Hematocrit 39.2 % 34.0-45.0 % Final
This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Clinical
Pathology
Laboratories
Main Lab (Blood
Not Drawn At
Mcv 91.8 fL 80.0-99.0 fL Final This Location):

Visit
Cpllabs.Com For
Location Nearest
You, Austin
Clinical
Pathology
Laboratories
Main Lab (Blood
Not Drawn At
25.0-33.0
Mch 31.4 pg Final
pg
This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Clinical
Pathology
Laboratories
Main Lab (Blood
Not Drawn At
31.0-36.0
Mchc 34.2 g/dL Final
g/dL
This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Rdw 11.7 % Clinical
Pathology
Laboratories
Main Lab (Blood
Not Drawn At
11.5-15.0 % Final
This Location):
Visit
 Cpllabs.Com For
Location Nearest
You, Austin
Clinical
Pathology
Laboratories
Main Lab (Blood
Not Drawn At
Neutrophils 53.6 % Final
This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Lymphocytes 37.9 % Clinical
Pathology
Laboratories
Main Lab (Blood
Not Drawn At
Final
This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Clinical

Monocytes 6.7 % Pathology

Laboratories
Main Lab (Blood
Not Drawn At
Final This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin

Clinical
Pathology
Laboratories
Main Lab (Blood
Not Drawn At
Final
This Location):
Visit
Cpllabs.Com For
Location Nearest
Eosinophils 1.2 % You, Austin
Basophils 0.6 % Clinical
Pathology
Laboratories
Main Lab (Blood
Not Drawn At
Final
This Location):
Visit
Cpllabs.Com For
 Location Nearest
You, Austin
Clinical
Pathology
Laboratories
Main Lab (Blood
Immature Not Drawn At
0.0 % Final
Granulocytes This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Clinical
Pathology
Laboratories
Main Lab (Blood
Nucleated 0.0 /100 Not Drawn At
0.0 /100
Final
WBC's
RBCs WBC's This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Clinical
Pathology
Laboratories
Main Lab (Blood
Platelet 130-400 Not Drawn At

Count 188 K/uL K/uL Final This Location):

Visit
Cpllabs.Com For
Location Nearest
You, Austin
Clinical
Pathology
Laboratories
Main Lab (Blood
Absolute Not Drawn At
1.50-7.50
3.51 K/uL Final
K/uL
Neutrophils This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Clinical
Pathology
Laboratories
Main Lab (Blood
Absolute 1.00-4.00 Not Drawn At
2.48 K/uL K/uL Final
Lymphocytes This Location):
Visit
Cpllabs.Com For
Location Nearest
 You, Austin
Clinical
Pathology
Laboratories
Main Lab (Blood
Absolute Not Drawn At
0.20-1.00
0.44 K/uL Final
K/uL
Monocytes This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Clinical
Pathology
Laboratories
Main Lab (Blood
Absolute Not Drawn At
0.00-0.50
0.08 K/uL Final
K/uL
Eosinophils This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Clinical
Pathology
Laboratories
Main Lab (Blood
Not Drawn At
Final
This Location):
Absolute Visit
0.00-0.20 Cpllabs.Com For
Basophils 0.04 K/uL K/uL Location Nearest
You, Austin
Clinical
Pathology
Laboratories -
Main Lab (Blood
Abs
0.00-0.10 Not Drawn At
Immature 0.00 K/uL Final
K/uL This Location):
Granulocytes
Visit
Cpllabs.Com For
Location Nearest
You, Austin
Clinical
Pathology
Laboratories -
Main Lab (Blood
Abs
0.00-0.11 Not Drawn At
Nucleated 0.00 K/uL Final
K/uL This Location):
RBCs
Visit
 Cpllabs.Com For
Location Nearest
You, Austin

Clinical
Pathology
Laboratories -
Main Lab (Blood
Vitamin B12, 200-950 Not Drawn At
12/12/2023 Vitamin B-12 345 pg/mL Final
Serum pg/mL This Location):
Visit
Cpllabs.Com For
Location Nearest
You, Austin

Allergies

Please review your allergy list for accuracy. Contact your provider if this list needs to be updated.
Code Code System Name Reaction Severity Onset
124427 RxNorm Venom-honey Bee Dyspnea

11291 RxNorm VENOM-WASP Dyspnea

NKDA

Problems
Name Status Onset Date Source
Hantavirus Pulmonary Syndrome Active 02/01/2021
Sarcoidosis
Active 02/01/2021
Hypothyroidism
Active 02/01/2021
Vitamin D Deficiency
Active 02/01/2021
Inflammatory Disorder of Immune System
Active 02/01/2021
Essential Hypertension
Active 02/01/2021
Polyarthropathy Active 02/01/2021
Migraine
Active 02/05/2021
Diplopia
Active 02/05/2021
Family History of Breast Cancer
Active 08/18/2021
Obesity
Active
Notes: Some problems listed in Document: #34005285 could not be added to this patient's chart. Please review this
document and add these problems to the patient's chart manually as needed.

Procedures
Date Name Performed by
Endometrial Ablation Information not available

Notes: Novasure
 Tonsillectomy Information not available
Ureter Endoscopy & Treatment
Information not available
Notes: 1998 - reconstructed
Tubal Ligation
Information not available
Notes: 2018 and ablation
Removal of Tonsils Information not available

Cholecystectomy Information not available

Appendectomy Information not available

Vaccine List

Here is a copy of your most up-to-date vaccination list.

Vaccine Type
COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose (Pfizer-BioNTech)
04/08/2021 0.3 mL

04/29/2021 0.3 mL

Influenza, injectable, MDCK, preservative free, quadrivalent

11/09/2023

influenza, injectable, quadrivalent

10/01/2020

11/05/2021

influenza, unspecified formulation 03/17/2023

MCV4, unspecified formulation

02/01/2012

Tdap
07/18/2014

Notes: Some vaccines listed in Document: #34005285 could not be added to this patient's chart. Please review this
document and add these vaccines to the patient's chart manually as needed.

Tobacco Smoking Status

Tobacco Smoking Status Former Smoker

Past Encounters
Encounter
Diagnosis Provider
Date
01/02/2024 Galactorrhea Not Associated with Childbirth; Insulin Kamalpreet K Singh, M.D: 1905 S W H K Dodgen
Resistance; Vitamin D Deficiency; Loss of Hair Loop, Temple, TX 76502-1814, Ph. (254) 298-2800
 Headache; Recurrent Miscarriage; Depressive Jairo A Libreros, MD: 1905 SW H K Dodgen Loop,
12/07/2023 Temple, TX 76502-1814, Ph. (254) 298-2560
Disorder; Impaired Fasting Glycemia
Demographics Not Hispanic or Latino
Sex: Female Ethnicity: White
DOB: 03/14/1989 Race: Never Married
Preferred language: English Marital status:

Contact: 1008 Pin Oak Dr, Belton, TX 76513-1023, Ph. tel:+1-512-3654099

Care Team Members

Primary Care Provider
Jairo Andres Libreros MD 1905 SW H K Dodgen Loop, Temple, TX 76502, Ph. tel:+1-254-2982400

Note: Patients are solely responsible for maintaining the privacy and security of all information printed from the
Patient Portal.