From a
cardiovascular standpoint, he has no known history of hypertension, coronary
artery disease, or arrhythmias.
Clinical examination
is unremarkable, but I think, it will be reasonable to proceed with an
echocardiographic evaluation.
He has not seen a
pulmonologist, and since he has symptom of dyspnea, I think it will be
reasonable for him to see a pulmonary specialist.
Today, the blood pressure is high, but at home, she
maintains a perfect blood pressure. So,
I am not going to react to this reading.
From a cardiovascular
standpoint, she has no new symptoms.
History of
hypothyroidism, being treated with thyroid supplement.
Also, I have reviewed
her labs, which are unremarkable.
Cardiac wise, no
issues.
History of CABG,
stable, being treated appropriately.
The reason is not very
clear to me, but even without Cardizem, his blood pressure is 108/70 and his
heart rate of 64 beats/min. So probably,
he can be managed without any beta-blockers or calcium channel blockers.
Lipid profile is being managed by respective
specialty.
Cardiology followup in four months’ time
Cardiomyopathy, on Coumadin, doing well.
She sleeps for eight hours, wakes up tired.
The ultrasound of the thyroid gland done on June 6,
2017, shows that she had multiple thyroid nodules.
Regarding chronic tobacco use, Pradeep is again
counseled about quitting smoking.
He has been to chiropractor, which helps some, but
the good effect does not last for too long.
I feel, maybe, BuSpar makes her tired, but she says
no, but this fidgetiness just does not want to go away.
SIMPLE
SENTENCE:
A simple sentence has a subject and ONLY ONE verb:
1. Joe waited
for the train.
"Joe" = subject, "waited" = verb
2. The train was late.
"The train" = subject, "was" =
verb
3. Mary and
Samantha took the bus.
"Mary and Samantha" = compound subject,
"took" = verb
4. I looked for Mary and Samantha at the bus
station.
"I" = subject, "looked" = verb
5. Mary and Samantha arrived at the bus station
early but waited until noon for the bus.
"Mary and Samantha" = compound subject,
"arrived" and "waited" = compound verb
COMPOUND
SENTENCE:
A compound sentence is formed when you join two main
clauses with a connective. In a compound sentence the clauses are linked by
coordinating conjunctions / connectives (and, but, so, or).
Examples: I like bananas and I like grapes.
Swathi can be rude at times, but she is a nice girl.
Joe waited for the train, but the train was late.
I looked for Mary and Samantha at the bus station,
but they arrived at the station before noon and left on the bus before I
arrived.
Mary and Samantha arrived at the bus station before
noon, and they left on the bus before I arrived.
Mary and Samantha left on the bus before I arrived,
so I did not see them at the bus station.
COMPLEX
SENTENCE:
Complex sentences can also be referred to as
multi-clause sentences. (main clause + connective + subordinate clause)
A complex sentence is formed when you join a main
clause and a subordinate clause with a connective. A subordinate clause is one
that relies on a main clause to make sense.
The connectives in complex sentences are
subordinating conjunctions and they tell us about the order or the place in
which things happened or specify a cause or effect relationship between events.
Connectives used in complex sentences include after, although, as, because, if,
since, unless, when.
Examples: I love roast potatoes, although my mum
prefers them mashed.
You need to prepare for the spelling test tomorrow
if you want to get all your spellings right.
The big dog barked whenever I knocked on the door.
I did not see them at the station because Mary and
Samantha arrived at the bus station before noon.
Joe realized that the train was late while he waited
at the train station.
Mary and Samantha realized that Joe was waiting at
the train station after they left on the bus.
Comments
Post a Comment