Speaker 1: This tape contains dictations from the Medical Specialty of Cardiology, dictation number one is a chart note.

Speaker 2: This 45-year-old woman went in four years ago because of a bad virus infection. At that time, serum cholesterol was 292. She was given niacin in doses of 2,000 milligrams daily. And it dropped only to 262 with HDL of 62. Has a 10-year history of reactive hypoglycemia, which has improved with diet and supplements. Six-month history of insomnia. Weepy, unquote, premenstrually. Allergies. Codeine reviews. Has some bloating after meals and excess flightess. Has urinary frequency. And has extreme cold extremities where she has to wear gloves in the house during the winter. Family history, mother had valvular heart disease, colitis and gallstones. Father had a heart attack. When the kidney stands, brother has stomach problems. Mother has gluten sensitivity. Habits drinks coffee and rare. Her alcohol diet is balanced. Assessment. Number one, borderline hypercholesterolemia with adequate HDL. Number two, reactive hypoglycemia. Number three, insomnia. Number four, premenstrual syndrome. Number five, tinnitus related to diet. Number six, cold extremities and dry skin. Number seven, seborrheic dermatitis. Number eight, hypercholesterolemia. Number nine, chronic kidney disease. Number 10, chronic kidney disease. Number 11, chronic kidney disease. Number 12, chronic kidney disease. Number 13, chronic kidney disease. Number 14, chronic kidney disease. Number 15, chronic kidney disease. Number 16, chronic kidney disease. Number 17, chronic kidney disease. Number 18, chronic kidney disease. Number 19, chronic kidney disease. Number 20, chronic kidney disease.