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Vera Lee is an 86-year-old woman with COPD, obesity, and chronic low back pain, managed with tiotropium and as-needed naproxen. She has had several recent encounters related to obesity and routine health maintenance, with stable oxygen saturation on her latest check.
Drives care
- Chronic obstructive pulmonary disease
- Obesity (BMI 30+)
- Chronic low back pain
- Long-term NSAID use for pain control
Watch
- Oxygen saturation reading of 99.7% is unusually high—verify measurement accuracy
- Chronic naproxen use in an 86-year-old warrants GI/renal risk review
- Recent 'well child visit' encounter appears inconsistent with patient age—check documentation
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Active problems
| Condition | Status | Onset |
|---|---|---|
| Chronic obstructive pulmonary disease (disorder) | active | Mar 5, 2024 |
| Body mass index 30+ - obesity (finding) | active | Feb 8, 2011 |
| Chronic low back pain (finding) | active | Mar 13, 2009 |
Active medications
| Medication | Dosage | Since |
|---|---|---|
| Tiotropium 18 mcg inhaler | daily | Feb 28, 2026 |
| Naproxen 500 MG Oral Tablet | twice daily as needed | Oct 22, 2023 |
Allergies
| Substance | Reaction | Verification |
|---|---|---|
| Latex | Contact dermatitis | confirmed |
Recent results
| Test | Value | When |
|---|---|---|
| Systolic blood pressure | 143 mmHg | Apr 9, 2026 |
| Systolic blood pressure | 150.5 mmHg | Jan 27, 2026 |
| Oxygen saturation abnormal | 99.7 % | Jan 17, 2026 |
| Hemoglobin A1c | 6.5 % | Nov 8, 2025 |
| Glucose | 178.9 mg/dL | Jul 20, 2025 |
| Systolic blood pressure | 155.9 mmHg | Jun 27, 2025 |
| Creatinine | 0.8 mg/dL | May 4, 2025 |
| Hemoglobin A1c | 6.9 % | Mar 24, 2025 |
| Systolic blood pressure | 120.3 mmHg | Dec 23, 2024 |
| Hemoglobin A1c | 6.8 % | Nov 28, 2024 |
| Glucose | 89.5 mg/dL | Oct 24, 2024 |
| Hemoglobin | 15.8 g/dL | Aug 19, 2024 |
| TSH | 2 mIU/L | Aug 10, 2024 |
| Systolic blood pressure | 153.2 mmHg | Feb 29, 2024 |
| Hemoglobin A1c | 6.5 % | Jan 10, 2024 |
| Hemoglobin A1c | 8.9 % | Oct 5, 2023 |
| LDL cholesterol | 87.3 mg/dL | Jun 21, 2023 |
| Systolic blood pressure | 146.9 mmHg | May 14, 2023 |
Notes & documents
| Document | Author | Date | |
|---|---|---|---|
| Progress note | Dr. Sarah Klein | Sep 4, 2025 | Read |
| Progress note | Dr. Ade Okonkwo | Mar 15, 2025 | Read |
| Follow-up note | Dr. Mei-Ling Chen | May 6, 2024 | Read |
Claims
| Claim | Payer | Date | Status | Billed | Paid | |
|---|---|---|---|---|---|---|
| CLM-G0128273 | Medicare | Jan 25, 2026 | pending | $108.17 | $0.00 | Lines |