Patient Note — 239591

progress_notes_239591_1_deid.txt

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Demographics & Encounter

Patient ID239591 (PHI redacted)
Age / Gender41 / Male
Date of Service2026-03-13
ProviderNone
FacilityPOTOMAC UROLOGY CENTER - Alexandria
PayerCigna Connect EPO
Reason1. AVEED #6

Diagnoses

E29.1 Testicular hypofunction
N52.02 Corporo-venous occlusive erectile dysfunction

Medications

Levothyroxine Sodium Quad-Mix(Papav-Phentol-Alprost-Atropine) 150-10-0.1-1 MG Solution Reconstituted as directed Intracavernosal Aveed(Testosterone Undecanoate) Tri-Mix(Papav-Phentolamine-Alprostadil) 150-5-50 MG-MG-MCG Solution Reconstituted as directed Intracavernosal Medication List reviewed and reconciled with the patient

Past Medical History

  • Hypothyroidism

Vitals

RR 16.0
HR 92.0
BP 131/89
BMI 29.83
WEIGHT 220 lbs
HEIGHT_IN 72.0

Clinical Summary (HPI)

Low Testosterone: 41yM w/ hx of low testosterone presents for Aveed #6. Labs reviewed today: testo 220; hct 46.8; hepatic WNL; PSA 0.5 (3/2/26). The patient notes increased strength on Aveed. - - - - - - - - - - - - - - The patient's previous work-up history is listed below: Testosterone: 390 (Aug. '25); 153 Free T 36.4 (Sept'24@9:30am) 185 Free T 53.9 (Aug'24@9am) HCT: 46.8 (March '26); 50.1 (Aug. '25); 44.1 (Nov. '24) Hepatic: WNL (March '26); WNL (Aug. '25); WNL (Nov. '24) PSA: 0.5 (March '26); 0.56 (Aug. '25); 0.45 (Nov. '24) HP2: WNL (Aug'24). Erectile Dysfunction screening: Also with hx of erectile dysfunction. He has been using Super Quadmix 0.4cc with mixed results. He reports a burning sensation after injecting as well as occasional dizziness. Pt is interested in the IPP. - - - - - - - - - - - - - - The patient's previous work-up history is listed below: Penile Doppler (Oct'24) Impression: Right Side Venous Leak. 44.58cm/s, 16.11cm/s | 37.46cm/s, 0.00cm/s (0.15cc) Adequacy of erection: Good. General Urology: Pt s/p Vasectomy (2019) The patient had a vasectomy in Fairfax in 2019. His post vas SA was neg. --------------------------------- The patient's previous work-up history is listed below:. Progress Note: ALEC M DODD 03/13/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/12/2026 04:38 PM EDT 1/4 4/13/26, 2:08 AM Print Preview [PATIENT_NAME] DOB: [DOB] (41 yo M) Acc No. [ACCOUNT_ID] DOS

Raw Note (de-identified preview)

4/13/26, 2:08 AM Print Preview [PATIENT_NAME] DOB: [DOB] (41 yo M) Acc No. [ACCOUNT_ID] DOS: 03/13/2026 [PATIENT_NAME] 41 Y old Male, DOB: [DOB] Account: [ACCOUNT_ID]: [PHONE] [ADDRESS] Home: [PHONE] Guarantor: [GUARANTOR_NAME] Insurance: Cigna Connect EPO PCP: Sapan Shah Referring: Sapan Shah Appointment Facility: POTOMAC UROLOGY CENTER - Alexandria Structured Data: How did you hear about us? : Primary Care Physician 03/13/2026 Aveed: ALEC M DODD Reason for Appointment 1. AVEED #6 History of Present Illness Low Testosterone: 41yM w/ hx of low testosterone presents for Aveed #6. Labs reviewed today: testo 220; hct 46.8; hepatic WNL; PSA 0.5 (3/2/26). The patient notes increased strength on Aveed. - - - - - - - - - - - - - - The patient's previous work-up history is listed below: Testosterone: 390 (Aug. '25); 153 Free T 36.4 (Sept'24@9:30am) 185 Free T 53.9 (Aug'24@9am) HCT: 46.8 (March '26); 50.1 (Aug. '25); 44.1 (Nov. '24) Hepatic: WNL (March '26); WNL (Aug. '25); WNL (Nov. '24) PSA: 0.5 (March '26); 0.56 (Aug. '25); 0.45 (Nov. '24) HP2: WNL (Aug'24). Erectile Dysfunction screening: Also with hx of erectile dysfunction. He has been using Super Quadmix 0.4cc with mixed results. He reports a burning sensation after injecting as well as occasional dizziness. Pt is interested in the IPP. - - - - - - - - - - - - - - The patient's previous work-up history is listed below: Penile Doppler (Oct'24) Impression: Right Side Venous Leak. 44.58cm/s, 16.11cm/s | 37.46cm/s, 0.00cm/s (0.15cc) Adequacy of erection: Good. General Urology: Pt s/p Vasectomy (2019) The patient had a vasectomy in Fairfax in 2019. His post vas SA was neg. --------------------------------- The patient's previous work-up history is listed below:. Progress Note: ALEC M DODD 03/13/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/12/2026 04:38 PM EDT 1/4 4/13/26, 2:08 AM Print Preview [PATIENT_NAME] DOB: [DOB] (41 yo M) Acc No. [ACCOUNT_ID] DOS: 03/13/2026 Current Medications Taking Levothyroxine Sodium 150 MCG Tablet Oral Quad-Mix(Papav-Phentol-Alprost-Atropine) 150-10-0.1-1 MG Solution Reconstituted as directed Intracavernosal Aveed(Testosterone Undecanoate) 750 MG/3ML Solution as directed intramuscularly every 10 weeks Not-Taking Tri-Mix(Papav-Phentolamine-Alprostadil) 150-5-50 MG-MG-MCG Solution Reconstituted as directed Intracavernosal Medication List reviewed and reconciled with the patient Past Medical History Hypothyroidism. Surgical History No Surgical History documented. Family History Father: alive Mother: alive Social History Smoking: no Recreational drug use: no. Exercise: yes. Caffeine: frequency:. Sexually active: yes. Occupation: yes. Screening Allergies N.K.D.A. Hospitalization/Major Diagnostic Procedure Denies Past Hospitalization Review of Systems 11 system Review of Systems completed in the chart and all pertinent positives and negatives reviewed with the patient..mc. Vital Signs RR: 16, HR