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CME / ABIM MOC / CE Released: 11/9/2021
Valid for credit through: 11/9/2022, 11:59 PM EST
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Clinical information from medical record:
Name: Paula S
Age: 65
History: Hypertension x 15 years; hyperlipidemia x 10 years; depression x 20 years; obesity
Family history: Father; myocardial infarction at age 49 years
Clinical data:
Test results:
Current Rx:
Amlodipine/olmesartan 5/20 mg once daily; citalopram 10 mg once daily
Clinician: Good morning! So nice to meet you, Paula. I’m Dr. Booher.
Patient:
[says respectfully] Hello, dear. That’s a lovely haircut. (compliments her in some way, ie, hair, earrings, necklace, etc)
Clinician: Why, thank you. Now if I understand correctly, you were a patient of Dr Singh.
Patient: Yes. Yes, I was. We had a good run…her and I. I’ll miss her. But I suppose you can’t fault a person for retiring.
Clinician: [smiles] No, I suppose not. [pretends to whisper] But I miss her too.
So, let’s take a look, here. [glances at file on desk and short pause]. The office left a note that you’re running out of your medications. Is that correct?
Patient: Yes, that’s correct. I’ll run out of the blood pressure pills real soon. I take one of those every day.
Clinician: All right. Are you still taking the citalopram for depression?
Patient: Yes, but I’ve got enough refills on those.
Clinician: And what about your cholesterol medication?
Patient: Well, I haven’t really been taking that one. My neighbor and I got to talking -- she’s a very smart lady -- and she was telling me that those statins can be bad for your blood sugar … can actually
cause
diabetes. Dr Singh once told me that I have pre-diabetes and [shakes head “no”] mm-mm…I don’t want to mess with that. My father had diabetes. It was tough on him. He had a heart attack when he was only 49.