Ambulatory Summary for Marlene C Ercolani

Table of Cont ent s

Allergies
Medications
Problems
Procedures
Results
Past Encounters
Social History
Vaccine List
Plan of Care
Vitals
Demographics
Care Team Members

Allergies
Co de Co de Syst e m Nam e Re act io n Se ve rit y St at us Onse t
NKDA
Medicat ions
Nam e St at us St art Dat e St o p Dat e
aspirin 81 mg chewable tablet Completed 07/28/2014 01/12/2023

aspirin 81 mg tablet,delayed release Active Not

TAKE ONE TABLET BY MOUTH TWICE A DAY available

atorvastatin 10 mg tablet Active Not

TAKE 1 TABLET BY MOUTH EVERY NIGHT AT BEDTIME available

atorvastatin 40 mg tablet Completed 04/07/2022

Bactroban 2 % topical ointment Completed 04/07/2022

benz onatate 200 mg capsule Active Not

TAKE 1 CAPSULE BY MOUTH THREE TIMES DAILY AS NEEDED FOR available
COUGH

BinaxNOW COVID- 19 Ag Self Test kit Active Not

TEST AS DIRECTED TODAY available

biotin Completed 07/28/2014 02/18/2021

biotin 5 mg capsule Active 02/01/2014 Not

1 capsule every day by oral route. available

calcium Completed 07/28/2014 02/18/2021

Calcium 500 + D 500 mg- 5 mcg (200 unit) tablet Active Not
1 tablet every day by oral route. available

cefadroxil 500 mg capsule Active Not

TAKE ONE CAPSULE BY MOUTH TWICE A DAY available

docusate sodium 100 mg capsule Active Not

TAKE ONE CAPSULE BY MOUTH TWICE A DAY available

Fiber Gummies 2.5 gram chewable tablet Completed 02/01/2018 04/07/2022

2 tablets every day by oral route.

Fluticasone Propionate (Nasal) Active 02/01/2018 Not

available

fluticasone propionate 50 mcg/actuation nasal spray,suspension Active Not

SHAKE LIQUID AND USE 2 SPRAYS IN EACH NOSTRIL EVERY DAY available

Gel- One 30 mg/3 mL intra- articular syringe Completed 04/07/2022

hydrocodone 10 mg- acetaminophen 325 mg tablet Active Not

TAKE ONE TABLET EVERY SIX HOURS AS NEEDED available

hydrocodone 5 mg- acetaminophen 325 mg tablet Active Not

TAKE 1 TABLET BY MOUTH EVERY 6 HOURS available

ibuprofen 600 mg tablet Completed 07/28/2014 02/18/2021

lysine 1,000 mg tablet Active 02/01/2014 Not

1 tablet every day by oral route. available

meloxicam 15 mg tablet Active Not

TAKE ONE TABLET BY MOUTH ONCE DAILY available

omepraz ole 20 mg capsule,delayed release Active Not

TAKE 1 CAPSULE BY MOUTH TWICE DAILY BEFORE BREAKFAST AND available
DINNER

ondansetron HCl 4 mg tablet Completed 04/07/2022

PreviDent 5000 Sensitive 1.1 %- 5 % dental paste Active Not

 available

Synvisc- One Completed 09/03/2014 02/18/2021

LOT #N1302 EXP. 1/16

tramadol 50 mg tablet Active Not

TAKE ONE TABLET BY MOUTH EVERY SIX HOURS AS NEEDED available

V- R Vitamin E 1000 unit capsule Completed 07/28/2014 02/18/2021

valacyclovir 1 gram tablet Active Not

TAKE 2 TABLETS BY MOUTH FOR 1 DAY WITH OUTBREAK AS DIRECTED available

Vitamin B- 12 chewable tablet Active 02/01/2018 Not

2 tablets every day by oral route. available

Vitamin D 2,000 unit capsule Active 02/01/2018 Not

1 capsule every day by oral route. available

Problems
Nam e St at us Onse t Dat e So urce
Localiz ed, Primary Osteoarthritis Active 07/28/2014

Osteoarthritis of Knee Active 07/28/2014

Full Thickness Rotator Cuff Tear Active 11/04/2019

Hip Pain Active 12/16/2021

Osteoarthritis of Right Hip Joint Active 12/16/2021

Pain in Right Hip Joint Active 06/16/2022

Pain in Left Knee Active 01/03/2023

History of Prosthetic Unicompartmental Arthroplasty of Left Knee Active

Procedures
Dat e Nam e Pe rf o rm e d by
02/16/2022 Knee Surgery Information not available

12/06/2019 Shoulder Surgery Information not available

12/06/2019 Shoulder Arthroscopy with Rotator Cuff Repair (Surg) Information not available

02/01/1994 Knee Surgery Information not available

02/01/1993 Breast Cancer Lump Removal/Biopsy Information not available

06/01/1988 Appendectomy Information not available

06/01/1988 Gallbladder Surgery Information not available

02/01/1971 Tubal Ligation Information not available

02/01/1955 Tonsillectomy/Adenoidectomy Information not available

Appendectomy Information not available

Breast Cancer Lump Removal/Biopsy Information not available

Gallbladder Surgery Information not available

Knee Surgery Information not available

Tonsillectomy/Adenoidectomy Information not available

11/04/2019 XR, Shoulder, 2 or More View Michigan Orthopaedic Surgeons

30575 Woodward Ave
Royal Oak, MA 01702
(248) 280- 8550 (Work Place)

12/17/2019 XR, Shoulder, 2 or More View Michigan Orthopaedic Surgeons

30575 Woodward Ave
Royal Oak, MA 01702
(248) 280- 8550 (Work Place)

02/26/2021 XR, Hip + Pelvis, Unilateral, 2 or 3 View Michigan Orthopaedic Surgeons

30575 Woodward Ave
Royal Oak, MA 01702
(248) 280- 8550 (Work Place)

12/17/2021 XR, Knee, 3 View Michigan Orthopaedic Surgeons

30575 Woodward Ave
Royal Oak, MA 01702
(248) 280- 8550 (Work Place)

12/17/2021 XR, Knee, 1 or 2 View Michigan Orthopaedic Surgeons

30575 Woodward Ave
Royal Oak, MA 01702
(248) 280- 8550 (Work Place)

03/02/2022 XR, Knee, 3 View Michigan Orthopaedic Surgeons

30575 Woodward Ave
Royal Oak, MA 01702
(248) 280- 8550 (Work Place)

06/16/2022 XR, Hip + Pelvis, Unilateral, 2 or 3 View Michigan Orthopaedic Surgeons

30575 Woodward Ave
Royal Oak, MA 01702
(248) 280- 8550 (Work Place)

01/13/2023 XR, Knee, 3 View Michigan Orthopaedic Surgeons

30575 Woodward Ave
Royal Oak, MA 01702
(248) 280- 8550 (Work Place)
Result s
Lab Re sult s

Dat e Nam e Spe cim e nRe sult Int e rpre t at io nDe script io nValue Range St at usAddre ss
01/29/2022 Staphylococcus Aureus + No
Methicillin- resistant observation
Staphylococcus Aureus recorded.
Panel, PCR, Nasal

01/29/2022 HbA1C (Hemoglobin a1C), No

Blood observation
recorded.

01/29/2022 CMP, Serum or Plasma No

observation
recorded.

01/29/2022 Cbc No
observation
recorded.

Past Encount ers

Enco unt e r Diagno sis Pro vide r
Dat e
01/13/2023 Osteoarthritis of Right Hip Joint; Pain in Left Knee; Donald Michael Knapke, MD: 1350 Kirts
Osteoarthritis of Knee; History of Prosthetic Boulevard, Troy, MI 48084- 3127, Ph.
Unicompartmental Arthroplasty of Left Knee (248) 244- 9426
06/16/2022 Pain in Right Hip Joint; Osteoarthritis of Right Hip Joint Joel R Kutz , PA: 1350 Kirts Boulevard,
Troy, MI 48084- 3127, Ph. (248) 244- 9426
04/12/2022 Osteoarthritis of Knee; History of Prosthetic Kyle T Allen, PA: 1350 Kirts Boulevard,
Unicompartmental Arthroplasty of Left Knee Troy, MI 48084- 3127, Ph. (248) 244- 9426
03/02/2022 Pain in Left Knee; Osteoarthritis of Left Knee Joint Kyle T Allen, PA: 1350 Kirts Boulevard,
Troy, MI 48084- 3127, Ph. (248) 244- 9426
01/31/2022 Donald Michael Knapke, MD: 1350 Kirts
Boulevard, Troy, MI 48084- 3127, Ph.
(248) 244- 9426
01/27/2022 Osteoarthritis of Left Knee Joint Donald Michael Knapke, MD: 1350 Kirts
Boulevard, Troy, MI 48084- 3127, Ph.
(248) 244- 9426
12/17/2021 Pain in Left Knee; Pain in Right Knee; Osteoarthritis of Left Joel R Kutz , PA: 1350 Kirts Boulevard,
Knee Joint Troy, MI 48084- 3127, Ph. (248) 244- 9426
02/26/2021 Hip Pain; Osteoarthritis of Right Hip Joint Donald Michael Knapke, MD: 1350 Kirts
Boulevard, Troy, MI 48084- 3127, Ph.
(248) 244- 9426
01/14/2020 Full Thickness Rotator Cuff Tear Craig Wm Roodbeen, MD: 1350 Kirts
Boulevard, Troy, MI 48084- 3127, Ph.
(248) 244- 9426
12/17/2019 Pain of Left Shoulder Joint; Full Thickness Rotator Cuff Tear Craig Wm Roodbeen, MD: 1350 Kirts
Boulevard, Troy, MI 48084- 3127, Ph.
(248) 244- 9426
12/03/2019 Craig Wm Roodbeen, MD: 1350 Kirts
Boulevard, Troy, MI 48084- 3127, Ph.
(248) 244- 9426
11/04/2019 Full Thickness Rotator Cuff Tear; Pain of Left Shoulder Joint Craig Wm Roodbeen, MD: 1350 Kirts
Boulevard, Troy, MI 48084- 3127, Ph.
(248) 244- 9426
Social Hist ory
Tobacco Smoking St at us Never Smoker

Vaccine List
None recorded.

Plan of Care

Patient Instructions

Left knee 20" immobiliz er orthosis to be delivered today.

Custom fit to decrease gait deviations.

Custom fabrication for appropriate fit and function.

Patient (or guardian) agreed to treatment plan and receipt of device: Yes
Checked orthosis for safety/structural integrity and appropriateness for patient: Yes
Patient received written or verbal education on wear/care/donning/warranty: Yes
Patient to Follow Up: PRN
Left shoulder slingshot2 immobiliz er to be used after surgery orthosis to be delivered today.

Custom fit to decrease motion.

Custom fabrication for appropriate fit and function.

Patient (or guardian) agreed to treatment plan and receipt of device: Yes

Checked orthosis for safety/structural integrity and appropriateness for patient: Yes

Patient received written or verbal education on wear/care/donning/warranty: Yes

Patient to Follow Up: PRN

Re m inde rs Pro vide r

Appoint ment s None recorded.

Lab None recorded.

Ref erral None recorded.

Procedures None recorded.

Surgeries None recorded.

Imaging None recorded.

Vit als
01/13/2023 10:20AM Reck 10
He ight We ight BMI
5 ft 4 in 135 lbs 23.2 kg/m2
06/16/2022 11:20AM Reck 10
He ight We ight BMI
5 ft 4 in 140 lbs 24 kg/m2
04/12/2022 09:00AM Reck 10
He ight We ight BMI
5 ft 4 in 133 lbs 22.8 kg/m2
03/02/2022 01:10PM Post Op 10
He ight We ight BMI
5 ft 4 in 133 lbs 22.8 kg/m2
01/27/2022 02:10PM Reck 10
He ight We ight BMI
5 ft 4 in 133 lbs 22.8 kg/m2
12/17/2021 08:10AM Reck 10
He ight We ight BMI
5 ft 4 in 133 lbs 22.8 kg/m2
02/26/2021 08:40AM New 10
He ight We ight BMI
5 ft 4 in 133 lbs 22.8 kg/m2
01/14/2020 02:00PM Reck 10
He ight We ight BMI
5 ft 4 in 150 lbs 25.7 kg/m2
12/17/2019 09:00AM Post Op 10
He ight We ight BMI
5 ft 4 in 150 lbs 25.7 kg/m2
11/04/2019 08:00AM New 10
He ight We ight BMI
5 ft 4 in 150 lbs 25.7 kg/m2
09/03/2014
He ight We ight BMI
5 ft 5 in 165 lbs 27.56 kg/m2
07/28/2014
He ight We ight BMI
5 ft 5 in 170 lbs 28.39 kg/m2

Demographics
Sex: Female Et hnicit y: Not Hispanic or Latino
DOB: 12/30/1950 Race: White
Pref erred language: English Marit al st at us: Widowed

Cont act : 41035 Cayenne Dr, Sterling Heights, MI 48314- 3918, Ph. tel:+1- 586- 7131379

Care Team Members

Primary Care Provider
DR. TREVOR RIPLEY
HANY ERAQI
6700 N ROCHESTER RD, STE 100, ROCHESTER HILLS, MI 48306, Ph. tel:+1-
248- 6501520
44250 DEQUINDER RD, STERLING HEIGHTS, MI 48314, Ph. tel:+1- 248-
9640400

Ref erring Provider

DR. DONALD KNAPKE MD 1350 KIRTS BOULEVARD, SUITE 160, TROY, MI 48084, Ph. tel:+1- 248-
2449426
DR. CRAIG ROODBEEN MD 1350 KIRTS BOULEVARD, SUITE 160, TROY, MI 48084- 4851, Ph. tel:+1- 248-
2449426