43M • MRN: 29384756 • Visit: Follow-up • Provider: Dr. Rebecca Chen
Session Duration
08:42
Good morning, James. How have you been feeling since our last visit?
Morning, doc. I've been doing mostly okay. The chest pain I was having has gotten better since you changed my medication. I'm not feeling it as often.
That's good to hear. So the Metoprolol is helping with the chest discomfort? Any side effects you've noticed?
I did feel a bit tired the first few days, but that's gotten better. I've been checking my blood pressure at home like you suggested, and it's been around 130/85 most days.
Those blood pressure numbers are better than before, but still a bit higher than our target. How about your exercise routine? Have you been able to keep up with the walking program?
Honestly, I haven't been as consistent as I should be. I managed about 20 minutes three times a week, but work has been really busy. I did notice some swelling in my ankles at the end of the day, especially after I've been sitting at my desk for a long time.
I see. The ankle swelling is something we should monitor. It could be related to your hypertension or might be a side effect of your medication. Let's check your legs today. Have you made any changes to your diet like we discussed?
I've been trying to cut down on salt. My wife has been helping with that. I'm eating more vegetables and fruits too. I've cut back on alcohol as well, maybe one beer on weekends instead of the couple I used to have almost every night...
Follow-up Visit • 04/20/2025 • Dr. Rebecca Chen
43-year-old male presents for follow-up of hypertension. Patient reports improvement in chest pain since starting Metoprolol. He reports home blood pressure readings averaging 130/85. Patient notes transient fatigue when starting medication that has since improved. New complaint of ankle swelling at the end of the day, especially after prolonged sitting.
Patient reports exercising approximately 20 minutes, three times weekly, less than recommended frequency. Diet changes include reduced salt intake, increased consumption of fruits and vegetables. Alcohol consumption reduced to occasional use (one beer on weekends vs. previous daily intake).