Patient Note — 166855

progress_notes_166855_1_deid.txt

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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 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 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