Patient Note — 232255

4/8/26, 3:53 PM Print Preview [PATIENT_NAME] DOB: [DOB] (88 yo F) Acc No. [ACCOUNT_ID] DOS: 01/20/2026 [PATIENT_NAME] 88 Y old Female, DOB: [DOB] Account: [ACCOUNT_ID]: [PHONE] VERANDA DR, SPRINGFIELD, VA-[ZIP] Home: [PHONE] Guarantor: [GUARANTOR_NAME] Insurance: Highmark Medicare PCP: [PROVIDER_NAME] Referring: [PROVIDER_NAME] Appointment Facility: POTOMAC UROLOGY CENTER - Alexandria 01/20/2026 Progress Notes: [PROVIDER_NAME], MD Reason for Appointment 1. 2 MONTH F/U History of Present Illness Bladder Cancer: 88yF with high-grade urothelial carcinoma s/p 2 TURBTs (no muscle in specimens). Completed 6 cycles of BCG. Presents for followup. She is currently s/p Cysto and Bladder Biopsy. Her path showed active chronic inflammation and calcification. No malignancy. She was on Solifenacin 5 mg but stopped. I had prescried Trospium. Both meds caused confusion and didn't work. She is currently off both meds. Frequency every 2-3 hrs. She denies any urgency. Occ leakage. Nocturia x 2. ========================= Previous work up: Cytology: Negative (June 2025) TURBT Path report (12/2024): Urinary blader left posterior wall, infiltrating high grade urothelial carcinoma in lamina propria. No muscularis propria present for eval. RIght posterior wall, Inflamed stromel tissue and calcifications, no mucusal epithelium identified. No evidence of malignancy. Right lateral wall bx, inflamed bladder muscosa, granulation tissue and calcifications. No evidence of malignancy TURBT 9/[ZIP]: 5cm tumor. Path HGTa UC/UA (11/2024): 100k, E.koseri/WBC 2+, RBC 25-50. Current Medications Taking Vitamin C Centrum Silver 50+Women(Multiple Vitamins-Minerals) - Tablet as directed Orally Levothyroxine Sodium 50 MCG Tablet TAKE 1TABLET 50MCG) BY MOUTH ONCE DAILY AT 6:00AM Oral Lisinopril 10 MG Tablet TAKE ONE TABLET BY MOUTH EVERY DAY Oral Simvastatin 20 MG Tablet TAKE ONE TABLET BY MOUTH EVERY DAY Oral Discontinued Aleve Vitamin B 12 Estrace(Estradiol) 0.1 MG/GM Cream NO applicator, pea-sized amount at the tip of the finger Vaginal every night Past Medical History Hypothyroidism. Hypercholesterolemia. HTN. Surgical History Progress Note: [PROVIDER_NAME], MD 01/20/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/08/2026 06:23 AM EDT 1/3 4/8/26, 3:53 PM Print Preview [PATIENT_NAME] DOB: [DOB] (88 yo F) Acc No. [ACCOUNT_ID] DOS: 01/20/2026 appendectomy age 4 tonsillectomy TURBT 10/3/25 Family History Father: deceased, diagnosed with CONDITN INFLU HEALTH NEC Mother: deceased, diagnosed with CONDITN INFLU HEALTH NEC Social History Recreational drug use: no. Exercise: yes. Caffeine: yes, frequency:. Sexually active: no. Tobacco Control (Standard) Tobacco use: Nonsmoker AUDIT-C (Standard) Did you have a drink containing alcohol in the past year? Yes How often did you have a drink containing alcohol in the past year? Declined to specify (0 point) How many drinks did you have on a typical day when you were drin