110124 progress notes
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8/7/2019 110124 Progress Notes
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Dkojbob `dyob cj Poyodpim \poyojrdrncj _jnw* Uoyrknjyrop 0< Fdjudp~
02#<4#0<44E Icdj JRO ' Yrpoory \pcepoyy Powno
0< Fdjudp~ 0<44 jccj KP9
Ao~cpby
4* Yrpoor boynej -_p`dj Boynej djb KgY 01 NMO 0<4<.0* _p`dj boynej nj poeojopdrncj -njipodynjeh~ bojyo up`dj iojrpoy nj Oupc|o(
d||hnid`ho ohyomopo3.
9* \hdio6 @dhdjio cg ”yrpoor `dhhor„ -Fdic y 4>?0. nrm I\ROB # ipnknjceojni djb
ipnknjc|mc`ni up`dj boynej nj yrpoory -Foggop~ 4>54( Jokdj 4>50.
2* Jnemr rnko -oicjck~. djb rojr~ gcup mcup inrnoy ’ yuyrdnjd`nhnr~
?* Bnwopynr~ cg yrpoor uyopy ’ rojyncjy djb |hodyupoy cg up`dj hngo
7* Yrpoor dirnwnr~ ’ up`dj boynejopy nbod ”up`dj hnwnje pcck„ ’ kujnin|dh DY@
|pc`hok ”pcuem yhoo|nje( `oeenje( |pcyrnrurncj( bpue uyo„ ick|dpob rc
icjwnwndhnr~ djb dk`nojio cg hnwoh~ jonem`cupmccby nrm inwnh imdjio ojicujropy
djb jdrupdh yupwonhhdjio
‘D Yrpoor ny bognjob dy d mnemd~ rmdr mdy dj nk|cprdjr |u`hni podhk gujirncj
`o~cjb rmo kcwokojr cg rpdggni‧ kcyr mnemd~y nj `unhr+u| dpody idj `o
icjynbopob dy yrpoory‛ gpck Kdjudh gcp Yrpoory 4 inrob nj KgY 0 -0<4<62.
I\ROB mrr|6##*boynejiojrpogcpi|rob*cpe#
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_p`dj Boynej
02#<4#0<44E Icdj JRO ' Yrpoory \pcepoyy Powno
0< Fdjudp~ 0<44 jccj KP9
\ dio6 \ diokd je‘Yrpoory kdao u| rmpoo+tudpropy cg dhh |u`hni y|dio‛ ’ djb‘BgR ny ickknrrob rc mnem tudhnr~ boynej nj rmo |u`hni podhk‛ -Jcpkdj @daop(_jbopyoipordp~ cg Yrdro gcp Rpdjy|cpr( inrob nj KgY 0 -0<4<64.
02 Mcup Inrnoy JRO( Pc`opry djb Ohbpnbeo -0<<>. \ rmo JR Inr~( Kdiad~ -0<<?.WNWDINR^ 0<0< 6 RMO JNEMR+RNKO OICJCK^ NJ RMO _A( Hcwdrr -0<<0. ( Yimhcop-4>>4.
Poyodpim Tuoyrncjy
4*mc idj o boynej njjop inr~ kn}ob uyo yrpoory rc gooh ’ gcp -jcj+kcrcpnyob.”|hdio„ uyopy( dr dhh mcupy ’hnao icjwnwndh( dhad`ho( ydgo( up`dj |hdioy3
0*Mc bc o `dhdjio boynej gcp poy|oirnwo ciiu|drncjy rc c|rnknyo rmo |crojrndhcg bnwopynr~( njrojynr~( icjghnir djb `ohcjenje nj yrpoory dy |hdioy -+djb dy hnjay. 3
Fcjoy( \*( Pc`opry( K* djb Kcppny( H* -0<<5. ”Pobnyicwopnje Kn}ob+_yo Yrpoory6 rmoicjrpn`urncj cg hcidh mnem yrpoory rc yuyrdnjd`ho ickkujnrnoy„* Fcyo|m PcjrpooGcujbdrncj( Rmo \chni~ \poyy( @pnyrchFcjoy( \*( @cufojac( J* djb Kdpymdhh( Y* -0<<5. ”Hnja djb \hdio6 D eunbo rc yrpoor|hdjjnje djb boynej„* Hdjbcp |u`hnymnje( Hcjbcj
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4* Yrpoor boynej
02#<4#0<44E Icdj JRO ' Yrpoory \pcepoyy Powno
0< Fdjudp~ 0<44 jccj KP9
* p dj poeojopd cj + oedi~9* \hdio6 @dhdjio cg yrpoor `dhhor nrm I\ROB up`dj boynej nj yrpoory dy ipnknjceojni cp
ipnknjc|mc`ni2* Jnemr rnko inr~ djb rojr~ gcup mcup inrnoy ’ yuyrdnjd`nhnr~?* Bnwopynr~ cg yrpoor uyopy ’ yrpdnjy djb |hodyupoy cg up`dj hngo7* Yrpoor dirnwnr~ ’ up`dj boynejopynbod ”up`dj hnwnje pcck„ ’ kujnin|dh DY@ |pc`hok ”pcuem yhoo|nje( `oeenje(|pcyrnrurncj( bpue uyo„
M~|crmoyoy
kcpo diioyyn`ho( ujihurropob( uj|hueeob( tunorop3 inwnhnyob3 icjwnwndh3\oboyrpndj Eudpbpdnhnje HRJ 0#<> BgR 0<<>0<K\M -90A\M. ny |hojr~ ‧‧‧**-4? K\M ; 02A\M # 9<K\M ; 2=A\M ## 9< A\M ; 4=*7
K\M gpck 7<b@ rc `ohc ?<[email protected]|dpo 0<AkM;40 K\M nj Eopkdj~.mrr|6##*gp+cjhnjo*bo#pmonj+kdnj#rok|c+9<+dug+mdu|rwopaompyyrpdyyoj#+#42505>7#949==42#+#njbo}*mrkh
ojedeo bnwopyo uyopy( ynk|hng~( yhc bcj( ymdpo y|dio( pobuio icjghniry( poychwoicjghniry3BgR poyodpim cj ymdpob y|dio -cjecnje.6 BgR Ymdpob Y|dio \pcfoir Yrdeo 4 D||pdnydh cg Ymdpob Y|dio -KWD Icjy 0<<>.mrr|6##*bgr*ecw*ua#|ep#yuyrdnjd`ho#ymdpoby|dio#yrdeo4#|bg#yrdeo4*|bg
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Bdrd edrmopob rc bdro( Fdjudp~ 0<44
02#<4#0<44E Icdj JRO ' Yrpoory \pcepoyy Powno
0< Fdjudp~ 0<44 jccj KP9
4* Pc`opr Mu}gcpb6 \u`hni Podhk Njgcpkdrncj djb Dbwnycp~ Jorcpa( \PNDJ (
_p`dj Boynej Epcu| _BE 0<4<0* Gpdu @puojjop6 Yrdbr|hdjujeydkr Gpdjagupr Fuh~ 0<4<
9* Mp Aok|op Yrdbrronh`uopc Gpdjagupr Boiok`op 0<4<
2* Idpchnjo Puyyohh Hnwnje Yrpoory Fdjudp~ 0<44
Gnohb Ucpa
?* |oboyrpndj icujry nj Idhobcjndj Pcdb( Fuh~ 0<4<(
7* |oboyrpndj icujry nj Kuojimojopyrpdyyo( Fuh~ 0<4<
5* Hnropdrupo6 \hdjjnje rmo Jnemr Rnko Inr~ -Pc`opry Ohbpnbeo. Ymdpob Y|dio
-@oimrhop. @dmjmcgywnoproh -@ojaoh. Inrnoy cj Pdnhy -@oprchnjn. Kdjudh gcp Yrpoor 0
’ nbop d||hnidrncj cg rmo |pnjin|hoy -NMO # BgR 0<4<.
=* Kd||nje djb kcbohhnje( @dmjmcgywnoproh djb Anjey Ipcyy -_p`dj Boynej
hnropdrupo.
02 mcup inrnoy( nbo pdjeo cg yrdaomchbopy + hnknrdrncjy
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Idyo yrubnoy
02#<4#0<44E Icdj JRO ' Yrpoory \pcepoyy Powno
0< Fdjudp~ 0<44 jccj KP9
4* Hcjbcj
hnwo djb cpa jodp`~( ciidyncjdh uyop( ihcyo njropoyr( hcidh jonem`cupmccbcpedjnydrncjy
\dprnin|djr c`yopwop( njwchwob nj Hnwnje Yrpoory A]( wchujroop rdanje |dpr nj
ickkujnr~ Yrpoor Dubnry nrm Ydgop Yrpoory Rodk # Ydgop Jonem`cupmccby Rodk
0* Gpdjagupr
hnwob djb cpaob jodp`~ gcp 0 kcjrmy nj 0<<>( wnynrob 0<4<( |dprnin|drob dy d
”rcupnyr„ nj ”@dmjmcgywnoproh Jdimry„ rcup
Njropwno nrm |hdjjnje bo|dprkojr
Njropwno nrm Yrdbrronh`uopc ’ Bnyrpnir Cggnio
@dhdjio cg drrojrncj dy |dprnin|djr c`yopwop Anjey Ipcyy : @dmjmcgywnoproh
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Anjey Ipcyy
02#<4#0<44E Icdj JRO ' Yrpoory \pcepoyy Powno
0< Fdjudp~ 0<44 jccj KP9
Idhobcjndj Pcdb
Gdidbo |mcrcepd|mni yupwo~ -dhyc ecceho yrpoor wno.Rpdggni Idky mrr|6##*``i*ic*ua#rpdwohjoy#hcjbcj#rpdggniidkopdy#
RgH Hnwo Rpdggni Idkopdy mrr|6##bdrd*hcjbcj*ecw*ua#bdrdyrcpo#|diadeo#rgh+hnwo+
rpdggni+idkopdy
Ecceho djb @cpcuem Kd|y Nyhnjercj( Idkboj( Obnjd Bnenkd| Cpbnjdjio Yupwo~ ’
RgH3
mrr|6##*c|ojyrpoorkd|*cpe#
@dmjmcgywnoproh
Gdidbo |mcrcepd|mni yupwo~ -dhyc ecceho yrpoor wno.
Rpdggni Idky mrr|6##*mp+
cjhnjo*bo#o`ynro#pu`pnaoj#jdimpnimroj#wopaompyadkopdy45797*fy|3pu`pna;4579
7
Ecceho djb Inr~ \hdjjnje Kd|y -\hdjDY.(’ Rpdjy|cpr3
Bd~rnko + wnbocy
Jnemr rnko -^curu`o.
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Anjey Ipcyy
02#<4#0<44E Icdj JRO ' Yrpoory \pcepoyy Powno
0< Fdjudp~ 0<44 jccj KP9
YYR Ydgop Yrpoory Rodk( YJR \chnio mrr|6##*ipn*cpe*ua#|pcfoir#?4
Nyhnjercj mrr|6##*kor*|chnio*ua#rodky#nyhnjercj#idhobcjndj#njbo}*|m|Idkboj ' Nyhnjercj fcnjr cpanje3
Njropwno Idpchnjo Puyyohh -Hnwnje Yrpoory. po Idhobcjndj Pcdb
-mrr|6##*hnwnjeyrpoory*cpe*ua#joy#ua#+#hcidh+epcu|+kdaoy+dj+nk|dir.
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Yrpoor ohowdrncjy -ecceho yrpoorwno. djjcrdro ’ yoo
02#<4#0<44E Icdj JRO ' Yrpoory \pcepoyy Powno
0< Fdjudp~ 0<44 jccj KP9
mrr|6##*ghniap*ick#|mcrcy#jckdbchcenyr#2590>7974=#nj#|cch+
42705??LJ04#Boicjyrpuirnje rmo e~pdrcp~ y~yrok3
Rpdjy|cpr gcp Hcjbcj mdy `oeuj dbwdjio cpay gcp d ©9?k pobowohc|kojr cg rmo
Rcrrojmdk Mdho E~pdrcp~ mnim nhh owojrudhh~ poyrcpo rc+d~ rpdggni rc rmo
`uy~ fujirncj* -rpdjy|cpr`pnognje*ic*ua # hnjaob+nj.
\oboyrpndj Icujry( Hnwnje Yrpoory \OPY Dubnry
-mrr|6##hnwnjeyrpoorya}*`hcey|cr*ick#.
Jo \u`hni Podhk Nyyuoy
Gurupo cg Udhanje # Rpdjy|cpr
Hcidhnyk
=
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Yaorim+u| Kcboh
02#<4#0<44E Icdj JRO ' Yrpoory \pcepoyy Powno
0< Fdjudp~ 0<44 jccj KP9
Boihurropnje |crojrndh
\oboyrpndjy#m Icujry yukkop kcpjnje Ruoy
Yoo dhyc \OPY Fujirncj Dubnry
Hnwnje Yrpoory # A] Udhad`nhnr~( RPH icjyuhrnje -0<<=. RgH pog _\P#^R#<0>#<=
mrr|6##*anjeyipcyyojwnpcjkojr*ick#0<<=#4<#anjey+ipcyy+dhad`nhnr~+dubnr+
icjbokjy+anjey+ipcyy+djb+yr+|djipdy+pcdb+ipcyynjey*mrkh
Fujirncjy I4= -0<<= |*0>. djb I4> -0<<= |hdro 2*49 ’|*9<.
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Cjo d~ y~yroky rc rc d~ y~yroky3
02#<4#0<44E Icdj JRO ' Yrpoory \pcepoyy Powno
0< Fdjudp~ 0<44 jccj KP9
-\pcg \orop Fcjoy6 ipcyynje rnkoy nk|pcwob nj Ecop Yrpoor _IH dy d cjo+d~.
Ymc|gpcjry ’ |oboyrpndj |opkod`nhnr~ gpck Djeoh rc Ouyrcj
\oboyrpndjy#m Icujry yukkop knbjnemr knbooa ’ ymc kcpo bdrd
Yoo dhyc \OPY Fujirncj Dubnry
Hnwnje Yrpoory # A] Udhad`nhnr~( RPH icjyuhrnje -0<<=. RgH pog _\P#^R#<0>#<=
mrr|6##*anjeyipcyyojwnpcjkojr*ick#0<<=#4<#anjey+ipcyy+dhad`nhnr~+dubnr+
icjbokjy+anjey+ipcyy+djb+yr+|djipdy+pcdb+ipcyynjey*mrkh
Fujirncjy I4= -0<<= |*0>. djb I4> -0<<= |hdro 2*49 ’|*9<.
4<
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@dmjmcgywnoproh
02#<4#0<44E Icdj JRO ' Yrpoory \pcepoyy Powno
0< Fdjudp~ 0<44 jccj KP9
Rdujuy Djhdeo 4>=> 0<(<<< bpue uyopy # ooa -@d`~hcj R i*0<<> ”\chnio po|cpr„
9knj 4<yoi.Poeojopdrncj -Njropwno Aok|op 0<4<( dhyc @opaoh ob -0<4<. Bdy Gpdjaguprop
@dmjmcgywnoproh
Ipodrnwoy Mcuynje Hnwo+cpa yrubncy -Wnboc
mrr|6##*~curu`o*ick#drim3w;DKb\mVb9?bD.
Mcuph~ mcrohy( 4= @pcrmohy ’ \pcyrnrurncj Hd
Mcroh ”0? mcupy„
\oboyrpndj \opkod`nhnr~
yoo dhyc Guyy oW \oboyrpndj Dyycindrncj # Mdyojyrd` -0<<9. nj
Vu GuÓ gøp _kohr ujb Eoyujbmonr ’ 9< @onrpâeo wck 0* G_YY+@cryimdgroprpoggoj
dk 4<* _jb 44*4<*0<<9 nj @ophnj( G_YY o*W* -Mpye*.( @ophnj 0<<2
mrr|6##*guyy+ow*bo#Dy|oaro+bop+Yrdbr|hdjuje+ujb+\hdjujey`ony|noho#Eomoj+
vnyimoj+@pdimo+ujb+_p`djnrdor*mrkh.
Rpdjy|cpr njropimdjeo( rpdnj( rpdk( i~iho( |oboyrpndj
poencjdh ynejngnidjio( rmpcuem rpdggni djb cjo+d~ y~yroky
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@uynjoyy Bnyrpnir # rcopy rc rmo odyr( njbuyrp~ # o}|c Koyy poeojopdrncj rc rmo
02#<4#0<44E Icdj JRO ' Yrpoory \pcepoyy Powno
0< Fdjudp~ 0<44 jccj KP9
oyr
Inwni Dwojuoy kdnjh~ odyr+oyrYnbo Yrpoory Kcyoh( Oh`o( ori Pob Hnemr dpody
Ymcpr ropk diickkcbdrncj
Imod| pojry
Diickkcbdrncj gcp rmo ”Ipodrnwoy ihdyy„( gdinhnrnoy gcp imnhbpoj oe yimcch
Rpdjy|cpr njropimdjeo
Iojrpo gcp Moyyoj djb icjup`drncj nrm Kdnjv djb Unoy`dboj
\oboyrpndjy#m Icujry yukkop owojnjey Kcj Ruoy Rmupy -Icdj 0<4<.
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Jnbbdyrpdyyo
02#<4#0<44E Icdj JRO ' Yrpoory \pcepoyy Powno
0< Fdjudp~ 0<44 jccj KP9
Gpck Pdnhd~ yrdrncj diioyy yrpoor -wnio. rcdpb inr~ iojrpo rcopy -ickkopio.
\oboyrpndj |dyydeo rcdpby Iojrpdh YrdrncjRpdggni Rpndjeho dr Adphyrpdyyo # cjo d~ goobop pcuro gpck yrdrncj iojrpo
curdpby rcdpby pnje pcdb
Icdj 0<4< Gpdjagupr( Jnbbdyrpdyyo @mgyw*
mrr|6##*ghniap*ick#epcu|y#`dmjmcgywnoproh#
Icdj 0<4< Hcjbcj( Idhobcjndj Pcdb A]
mrr|6##*ghniap*ick#epcu|y#idhobcjndj#
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\mcrcy6 Ecceho Yrpoor wno Fdjudp~ 0<44
02#<4#0<44E Icdj JRO ' Yrpoory \pcepoyy Powno
0< Fdjudp~ 0<44 jccj KP9
Rpdggni Nyhdjb Adphyrpdyyo # Jnbbdyrpdyyo
Hogr6 poyrdupdjr rd`hoy cj rmo ytudpoPnemr6 Jnbbdyrpdyyo ycurmynbo hogr6 Bpue ihnjni djb Hcoo wcj Fubd
mcyroh ’ pnemr Koed+Unj idynjc
Hcoo wcj Fubd + Owdjeohnidh+imdpnykdrni ickkujnr~
mrr|6##*hcoo+wcj+fubd*bo#mrkh#mnyrcpno*mrkh
Ep Gh Ymccrnje Edhhop~ -Bpuiapduk. 2rm Gh Imd|oh # Ucpymn| Dpod
-Ecrroybnojyrpduk .
@d`~hcj RW6 Bpceojmdjboh nk Gpdjaguprop @dmjmcgywnoproh i 0<<>d`cur knipc+uydeo cg rmo yrpoor gccrd~
mrr|6##*~curu`o*ick#drim3w;^2`DCvye_K
L 2„0<‛ yrpoor uyopy # knipc+uydeo yrub~
Yueeoyrncj ’ c`yopwdrncjdh yrub~
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Gnjdhh~
02#<4#0<44E Icdj JRO ' Yrpoory \pcepoyy Powno
0< Fdjudp~ 0<44 jccj KP9
Jo}r yrdeo Bdrd ichhoirncj # |cyyn`ho wnboc cpa #
\orop Fcjoy6 ojtunpo BgR + mrr|6##bdrd*hcjbcj*ecw*ua#bdrdyrcpo#|diadeo#rgh+hnwo+rpdggni+idkopdy
yoo Pc`opry djb Rupjop -0<<? |*45?. Ycmc yrub~( rnko+hd|yo wnboc djb boin`ho
icujr
mrr|6##|bgyopwo*njgcpkdcphb*ick#25045S5?494=>57S549>>7?==*|bg
\pc|cyob njropwojrncjy
Bpd + Njropwno + Kodyupo + Kd| + Gciuy Epcu| + Podb
Rc ick|horo
4* Njrpc
0* Hnropdrupo Yupwo~
9* Kormcbchce~
2* Idyo Yrub~ Anjey Ipcyy
?* Idyo Yrub~ Gpdjagupr
7* \pc|cydhy
5* Owdhudrncj
=* Icjihuyncjy
@n`hncepd|m~
D||ojbn}6 Yokn+yrpuirupob Njropwnoy
D||ojbn}6 Yrpoor Dirnwnr~ djb _p`dj Boynej Yupwo~y