Patient Note — 240020

4/13/26, 2:09 AM Print Preview [PATIENT_NAME] DOB: [DOB] (68 yo M) Acc No. [ACCOUNT_ID] DOS: 04/10/2026 [PATIENT_NAME] 68 Y old Male, 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 - Alexandria Structured Data: How did you hear about us? : Other; Patient's temperature : 0 04/10/2026 Progress Notes: [PROVIDER_NAME], MD Reason for Appointment 1. Prostate pain History of Present Illness Prostate Cancer (localized): 68yM patient with gleason 4+3=7 prostate cancer s/p Barrigel/Fiducials (5/27/2025) and XRT (8/11/2025) presents today for FU on 6 month ADT Orgovyx (May'25 to Nov'25) - - - - - - - - - - - - - - The patient's previous work-up history is listed below: TREATMENT: Barrigel/Fiducials XRT (8/11/2025) Orgovyx(May'25-Nov'25) PSA: 7.6 (February 2024 - Verbal), 0.17 (Aug 2025) TESTO: 9 (Aug 2025) Decipher: 0.23; Low-risk (Feb'25) Prostate bx ( Feb 2025):LB 4+3=7 10% tissue, LM 3+3=6 20% tissue, LA 3+4=7 30% tissue, LLB 3+4=7 10% tissue, LLM 3+4=7 20% tissue, LLA 3+3=6 60% tissue, 1A 3+4=7 50% tissue, 1B 3+4=7 50% tissue, 1C 4+3=7 20% tissue pMRI (November 2024): 1. Left apex peripheral zone lesion, PI-RSDS v2.1 category 4. 2. No findings suspicious for tumoral extraprostatic extension or metastatic disease within the imaged pelvis. 3. Prostate volume of 42cc. PI-RADS 4. CT Abd/Pelvis (April 2024): Normal sized kidneys without obstruction. Bilateral simple renal cysts. No suspicious renal cortical mass or urolethial lesion. No evidence of metastatic disease. CMP: GLU 97, BUN 15.6, CREA 1.18, NA 131 L, CL 96 L. (Aug 2025) CBC: WBC 3.6 L, RBC 3.83 L, MONO% 13.1 H, LYMPH% 11.4 L, GRAN% 75.5 H (Aug 2025). BPH screening: with BPH. - - - - - - - - - - - - - - The patient's previous work-up history is listed below: Treatment: Tamsuolosin 0.4 mg. Current Medications Taking Tamsulosin HCl 0.4 MG Capsule 1 cap(s) orally once a day Orgovyx(Relugolix) 120 MG Tablet 1 tab(s) orally once a day Not-Taking valACYclovir HCl 1 GM Tablet Oral Medication List reviewed and reconciled with the patient Progress Note: [PROVIDER_NAME], MD 04/10/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/12/2026 04:39 PM EDT 1/4 4/13/26, 2:09 AM Print Preview [PATIENT_NAME] DOB: [DOB] (68 yo M) Acc No. [ACCOUNT_ID] DOS: 04/10/2026 Past Medical History Prostate Cancer. Surgical History Denies Past Surgical History Family History Father: deceased Mother: deceased Social History Smoking: no Recreational drug use: no. Exercise: no. Caffeine: yes. Sexually active: no. Occupation: no. Tobacco Control (Standard) Tobacco use: Nonsmoker AUDIT-C (Standard) Did you have a drink containing alcohol in the past year? No Points 0 Interpretation Negative Screening Allergies N.K.D.A. Hospitalization/Major Diagnostic Procedure Denies Past Hospitalizat