Patient Note — 166855
progress_notes_166855_1_deid.txt
Demographics & Encounter
Patient ID166855 (PHI redacted)
Age / Gender70 / Female
Date of Service2026-03-17
Provider[PROVIDER_NAME]
FacilityPOTOMAC UROLOGY CENTER - Woodbridge
PayerMedicare VA
Reason1. Overactive Bladder
Diagnoses
R31.0
Gross hematuria
N32.81
Overactive bladder
N20.0
Nephrolithiasis
Medications
Potassium Citrate
Eliquis(Apixaban)
Lipitor(Atorvastatin Calcium)
Ambien CR(Zolpidem Tartrate ER) 12.5 MG Tablet Extended Release 1 tablet at bedtime as needed Orally Once a day
Spiriva HandiHaler(Tiotropium Bromide)
HandiHaler device Inhalation Once a day
Avapro(Irbesartan)
Abilify(ARIPiprazole)
PROzac
Protonix(Pantoprazole Sodium)
Synthroid(Levothyroxine Sodium)
Super B-Complex(B Complex-Biotin-FA) - Tablet as directed Orally
Progress Note: [PROVIDER_NAME], MD 03/17/2026
Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com)
Generated for Printing/Faxing/eTransmitting on: 04/23/2026 09:41 AM EDT
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[PATIENT_NAME] DOB: [DOB] (70 yo F) Acc No. [ACCOUNT_ID] DOS: 03/17/2026
Multivitamin - Tablet Chewable as directed Orally
Zinc
Ester-C 1000-50 MG Tablet as directed Orally
Calcium Citrate
Vitamin D3 5000 UNIT/ML Liquid as directed Orally
Ativan(LORazepam)
Phenergan
Past Medical History
- IBS
- High Blood Pressure
- Osteoarthritis
- ASTHMA
- Depression
- Anxiety disorder
- PTSD
- Sleep apnea
- Hearing loss right
- OAB
Vitals
RR
16.0
HR
60.0
BP
113/75
BMI
26.43
WEIGHT
154 lbs
HEIGHT_IN
64.0
Clinical Summary (HPI)
Overactive Bladder: 70 year old female with history of overactive bladder and urge incontinence (managed with InterStim) presents for reassessment as she continues Trospium [ADDRESS] scan done in 2023 to for an abdominal procedure, and they incidentally found a non-obstructing stone. She was put on Kcitrate for stone prevention. She also noted a recent 24 hour period of gross hematuria. She notes consistent nocturia and leakage at night. Pt's device was adjusted to Program 2 @ 0.4 at last visit. ++++++++++++ UA/UCx: Negative [10/9/2024], E. faecalis, Cipro [9/4/2024] Pelvic: Atrophic vaginitis [7/11/2023]. Previous Therapy Medication Trospium/Sanctura,Solifenacin/Vesicare Anticholinergic Side Effects? No Interventions Yes Interstim Yes Date 06/03/2024 PNE Yes Date 02/23/2024 Transition to Interstim? Yes
Raw Note (de-identified preview)
4/23/26, 6:41 AM Print Preview
[PATIENT_NAME] DOB: [DOB] (70 yo F) Acc No. [ACCOUNT_ID] DOS: 03/17/2026
[PATIENT_NAME]
70 Y old Female, DOB: [DOB]
Account: [ACCOUNT_ID]: [PHONE] [ADDRESS]
Home: [PHONE]
Guarantor: [GUARANTOR_NAME] Insurance: Medicare VA
(Palmetto)
PCP: [PROVIDER_NAME] Referring: [PROVIDER_NAME]
Appointment Facility: POTOMAC UROLOGY CENTER - Woodbridge
Structured Data: How did you hear about us? : Other; Patient's temperature : 98
03/17/2026 Progress Notes: [PROVIDER_NAME], MD
Reason for Appointment
1. Overactive Bladder
History of Present Illness
Overactive Bladder:
70 year old female with history of overactive bladder and urge incontinence (managed with InterStim) presents for
reassessment as she continues Trospium [ADDRESS] scan done in 2023 to for an abdominal procedure, and
they incidentally found a non-obstructing stone. She was put on Kcitrate for stone prevention. She also noted a recent 24
hour period of gross hematuria. She notes consistent nocturia and leakage at night.
Pt's device was adjusted to Program 2 @ 0.4 at last visit.
++++++++++++
UA/UCx: Negative [10/9/2024], E. faecalis, Cipro [9/4/2024]
Pelvic: Atrophic vaginitis [7/11/2023].
Previous Therapy
Medication Trospium/Sanctura,Solifenacin/Vesicare
Anticholinergic Side Effects? No
Interventions Yes
Interstim Yes
Date 06/03/2024
PNE Yes
Date 02/23/2024
Transition to Interstim? Yes
Current Medications
Taking
Potassium Citrate
Eliquis(Apixaban) 5 MG Tablet as directed Orally
Lipitor(Atorvastatin Calcium) 20 MG Tablet 1 tablet Orally Once a day
Ambien CR(Zolpidem Tartrate ER) 12.5 MG Tablet Extended Release 1 tablet at bedtime as needed Orally Once a day
Spiriva HandiHaler(Tiotropium Bromide) 18 MCG Capsule 1 capsule by inhaling the contents of the capsule using the
HandiHaler device Inhalation Once a day
Avapro(Irbesartan) 150 MG Tablet 1 tablet Orally Once a day
Abilify(ARIPiprazole) 10 MG Tablet 1 tablet Orally Once a day
PROzac 20 MG Capsule 1 capsule Orally Once a day
Protonix(Pantoprazole Sodium) 40 MG Tablet Delayed Release 1 tablet Orally Once a day
Synthroid(Levothyroxine Sodium) 25 MCG Tablet 1 tablet in the morning on an empty stomach Orally Once a day
Super B-Complex(B Complex-Biotin-FA) - Tablet as directed Orally
Progress Note: [PROVIDER_NAME], MD 03/17/2026
Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com)
Generated for Printing/Faxing/eTransmitting on: 04/23/2026 09:41 AM EDT
1/6
4/23/26, 6:41 AM Print Preview
[PATIENT_NAME] DOB: [DOB] (70 yo F) Acc No. [ACCOUNT_ID] DOS: 03/17/2026
Multivitamin - Tablet Chewable as directed Orally
Zinc 50 MG Tablet 1 tablet Orally Once a day
Ester-C 1000-50 MG Tablet as directed Orally
Calcium Citrate 150 MG Capsule 2 capsules Orally Once a day
Vitamin D3 5000 UNIT/ML Liquid as directed Orally
Ativan(LORazepam) 1 MG Tablet 1 tablet at bedtime as needed Orally Once a day
Phenergan 25 MG Tablet 1 tablet as needed Orally every 12 hrs
Fioricet(Butalbital-APAP-Caffeine) 50-325-40 MG Tablet 1 tablet a