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Kimana Blackhorse is a 59-year-old woman with type 2 diabetes and COPD, both diagnosed in 2024, alongside longstanding hypothyroidism and hyperlipidemia. She is managed with empagliflozin, tiotropium, levothyroxine, and atorvastatin, and has had recurrent visits for both diabetes and COPD symptoms into 2026. Recent labs show well-controlled LDL and normal oxygenation, though hemoglobin was mildly elevated in 2024.
Drives care
- Type 2 diabetes mellitus - recurrent symptom encounters
- COPD - ongoing symptom/problem visits
- Hypothyroidism - stable on levothyroxine
- Hyperlipidemia - on statin therapy
Watch
- Hemoglobin 16.4 g/dL (2024) - confirm not related to COPD-driven polycythemia
- No recent oxygen saturation or spirometry follow-up since June 2025
- Verify diabetes control (no recent A1c reported)
Active problems
| Condition | Status | Onset |
|---|---|---|
| Type 2 diabetes mellitus (disorder) | active | Apr 15, 2024 |
| Chronic obstructive pulmonary disease (disorder) | active | Mar 8, 2024 |
| Hypothyroidism (disorder) | active | Oct 6, 2018 |
| Hyperlipidemia (disorder) | active | May 23, 2007 |
Active medications
| Medication | Dosage | Since |
|---|---|---|
| Tiotropium 18 mcg inhaler | daily | Aug 13, 2024 |
| Empagliflozin 10 MG Oral Tablet | 10 mg daily | Jan 11, 2022 |
| Atorvastatin 20 MG Oral Tablet | 20 mg nightly | Nov 1, 2021 |
| Levothyroxine 75 mcg Oral Tablet | daily | Oct 20, 2021 |
Allergies
| Substance | Reaction | Verification |
|---|---|---|
| No known allergies recorded. | ||
Recent results
| Test | Value | When |
|---|---|---|
| Systolic blood pressure | 134.2 mmHg | Aug 17, 2026 |
| Systolic blood pressure | 116.2 mmHg | Jul 12, 2026 |
| Hemoglobin | 13.2 g/dL | Apr 18, 2026 |
| LDL cholesterol abnormal | 60.9 mg/dL | Feb 17, 2026 |
| Body mass index | 26.7 kg/m2 | Oct 26, 2025 |
| Creatinine | 0.7 mg/dL | Oct 4, 2025 |
| Oxygen saturation abnormal | 99.3 % | Jun 9, 2025 |
| Heart rate | 62 /min | May 24, 2025 |
| Body mass index | 31.2 kg/m2 | May 16, 2025 |
| Body mass index | 27.5 kg/m2 | Apr 28, 2025 |
| Oxygen saturation | 96.6 % | Apr 4, 2025 |
| Systolic blood pressure | 122.5 mmHg | Dec 3, 2024 |
| Glucose | 136.1 mg/dL | Nov 27, 2024 |
| TSH | 5.2 mIU/L | Nov 12, 2024 |
| Oxygen saturation | 93.3 % | Aug 24, 2024 |
| Hemoglobin abnormal | 16.4 g/dL | Mar 30, 2024 |
| Diastolic blood pressure | 64.4 mmHg | Nov 14, 2023 |
| Hemoglobin | 13.2 g/dL | May 29, 2023 |
| Body mass index | 29.8 kg/m2 | Feb 17, 2023 |
Notes & documents
| Document | Author | Date | |
|---|---|---|---|
| Telehealth note | Dr. Marcus Bell | Jul 6, 2026 | Read |