Patient Note — 62777

4/13/26, 2:30 AM Print Preview [PATIENT_NAME] DOB: [DOB] (64 yo M) Acc No. [ACCOUNT_ID] DOS: 04/10/2026 Prostate bx fu Patient: [PATIENT_NAME] Provider: [PATIENT_NAME], MD Account: [ACCOUNT_ID]: [ACCOUNT_ID] DOB: [DOB] Age: 64 Y Sex: Male Date: 04/10/2026 Phone: [PHONE] Address: [ADDRESS] Pcp: [PATIENT_NAME] Subjective: Chief Complaints: 1. 2 WEEK PATHOLOGY REVIEW. HPI: Elevated PSA/Screening: 64yM with elevated PSA. Presents today for biopsy review His current PSA is 4.5ng (Dec/2025). Family history is negative for prostate cancer. Kidney Stone: Also with history of kidney stone Renal sonogram: Atrophic left kidney CT: Very small and atrophic left kidney with compensatory hypertrophy on right. There are stones in left kidney but no obstruction. CT scan suggests non functioning left kidney. [August 2010]. ROS: 11 system Review of Systems completed in the chart and all pertinent positives and negatives reviewed with the patient, adg. Medical History: Hypercholestrolemia, Esophageal reflux, Laparotomy, Gout. Surgical History: Hernia repair , BOWEL OBSTRUCTION . Family History: Father: deceased. Mother: deceased. 1 daughter(s) - healthy. . Screening: Social History: Recreational drug use: no. Exercise: yes, moderate. Caffeine: yes, frequency: daily. Alcohol: socially . Sexually active: yes. Occupation: no, retired. Tobacco Control (Standard) Tobacco use: Nonsmoker Medications: Taking Aspirin 81(Aspirin) 81 MG Tablet Delayed Release 1 tablet Orally Once a day , Taking Coenzyme Q-10 100 MG Capsule as directed Orally , Taking Colchicine 0.6 MG Tablet 1 tablet Orally , Taking Indomethacin 50 MG Capsule 1 capsule with food or milk Orally Twice a day , Taking Atorvastatin Calcium 20 MG Tablet 1 tablet Orally Once a day , Taking Pantoprazole Sodium 40 MG Tablet Delayed Release 1 tablet 1/2 to 1 hour before morning meal Orally Once a day , Taking Olmesartan Medoxomil-HCTZ 40-12.5 MG Tablet 1 tablet Orally Once a day , Taking Carvedilol 3.125 MG Tablet 1 tablet with food Orally Twice a day , Taking Allopurinol 100 MG Tablet 1 tablet Orally Once a day , Taking Citalopram Hydrobromide 10 MG Tablet TAKE 1 TABLET BY MOUTH DAILY Oral Provider: [PATIENT_NAME], MD Date: 04/10/2026 1/3 4/13/26, 2:30 AM Print Preview [PATIENT_NAME] DOB: [DOB] (64 yo M) Acc No. [ACCOUNT_ID] DOS: 04/10/2026 Allergies: Penicillin: dizziness - Allergy - Criticality High. Objective: Vitals: Assessment: Assessment: 1. Prostate cancer - C61 (Primary) 2. Elevated prostate specific antigen [PSA] - R97.20 Plan: Treatment: 1. Prostate cancer Notes: The patient has been diagnosed with: Intermediate-risk, favorable (PSA < 10, or Gleason 7, 3+4, or cT2b). I discussed his prostate biopsy results with him indicating that he has intermediate risk prostate cancer. I explained the significance of the Gleason score. I had a long discussion with him regarding treatment options including: ~ active surveillance ~ radical prostatectomy ~ radiation therapy such as brachytherapy/external beam/Cyberknife/prot