What Can I Expect After Undergoing Lipo In NYC?

Swelling and mild bruising are common after undergoing lipo and should subside within weeks. Those opting for minimally invasive liposuction can expect less healing time than those undergoing traditional lipo procedures. Post-care instructions will be provided to ensure optimal results after treatment.

Urgent care washington DC : Urgent care DC : Walk in clinic DC: Dr henok Araya

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202.463.5141

ROUTINE URGENT CARE(ONLINE OR IN-PERSON)

LACERATIONS/CUT

EYE EMERGENCIES( WE HAVE FULL OPHTHALMOLOGY LANE)

MEDICATION REFILLS

LAB TEST SCRIPTS

WELL BEING CT SCANS, AND HEART SCANS

FREE MAMMOGRAM SCRIPTS

EXTRA TIME TESTING FOR SCHOOL

Patient Medical History

Date

Month Day Year
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Name

First Name Middle Name Last Name

List the medication you would like to refill (write exactly as written or attach a picture of the medicine bottle)

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I need a rush order (medication will be called in within 1 hour at a fee of $89 and includes 1 year worth of refill). I need a regular order ( medication will be called in within 12 hours at a fee $39 and no refills).

Describe briefly why you are taking the medication and for how long you have taken it :

Please list any side effects you had with this medication

Do you have any Medical or Psychiatric Hospitalizations (include where, when, & for what reason):

CURRENT MEDICATIONS

Drug allergies:

No Yes

If Yes then To what?

Please list any medications that you are now taking. Include non-prescription medications & vitamins or supplements:

Name of drug Dose (include strength & number of pills per day) How long have you been taking this?

1

2

3

4

5

6

7

8

9

10

11

12

Past medical history

Do you now or have you ever had (check all that apply):

Diabetes High blood pressure High blood pressure Goiter Cancer (type) Leukemia Psoriasis Angina Heart problems Heart murmur Pneumonia Pulmonary embolism Asthma Emphysema Stroke Epilepsy (seizures) Cataracts Kidney disease Kidney stones Crohn's disease Colitis Anemia Jaundice Hepatitis Stomach or peptic ulcer Rheumatic fever Tuberculosis HIV/AIDS

Other medical conditions (please list):

PERSONAL HISTORY

Were there problems with your birth? (specify)

Where were your born & raised?

What is your highest education?

High school Some college College graduate Advanced degree

Marital status:

Never married Married Divorced Separated Widowed Partnered/significant other

Are you currently working?

Yes No

If not, are you

retired disabled sick leave?

Do you receive disability or SSI?

Yes No

If yes, for what disability & how long?

FAMILY HISTORY if deceased

Age(s) at death Cause

Father

Mother

Siblings

Children

Systems Review

(have you had any of the following)

General

Recent weight gain Recent weight loss Fatigue Weakness Fever Night sweats

If weight gain then how much?

If weight loss then how much?

Muscle/Joints/Bones

Numbness Joint pain Muscle weakness Joint swelling

If joint pain then where?

EARS

Ringing in ears Loss of hearing

EYES

Pain Redness Loss of vision Double or blurred vision Dryness

THROAT

Frequent sore throats Hoarseness Difficulty in swallowing Pain in jaw

HEART AND LUNGS

Chest pain Palpitations Shortness of breath Fainting Swollen legs or feet Cough

NERVOUS SYSTEM

Headaches Dizziness Fainting or loss of consciousness Numbness or tingling Memory loss

STOMACH AND INTESTINES

Nausea Heartburn Stomach pain Vomiting Yellow jaundice Increasing constipation Persistent diarrhea Blood in stools Black stools

SKIN

Redness Rash Nodules/bumps Hair loss Color changes of hands or feet

BLOOD

Anemia Clots

KIDNEY/URINE/BLADDER

Frequent or painful urination Blood in urine

Women Only:

Abnormal Pap smear Irregular periods Bleeding between periods PMS

PSYCHIATRIC

Depression Excessive worries Difficulty falling asleep Difficulty staying asleep Difficulties with sexual arousal Poor appetite Food cravings Frequent crying Sensitivity Thoughts of suicide/attempts Stress Irritability Poor concentration Racing thoughts Hallucinations Rapid speech Guilty thoughts Paranoia Mood swings Anxiety Risky behavior

OTHER PROBLEMS:

WOMENS REPRODUCTIVE HISTORY:

Age of first period:

# Pregnancies:

# Miscarriages:

# Abortions:

Have you reached menopause?

Yes No

At what age?

Do you have regular periods?

Yes No

SUBSTANCE USE

DRUG CATEGORY

Do you currently use this?

ALCOHOL

CANNABIS: Marijuana, hashish, hash oil

STIMULANTS: Cocaine, crack

STIMULANTS: Methamphetamine — speed, ice, crank

AMPHETAMINES/OTHER STIMULANTS:

Ritalin, Benzedrine, Dexedrine

BENZODIAZEPINES/TRANQUILIZERS: Valium, Librium, Halcion, Xanax, Diazepam, "Roofies"

SEDATIVES/HYPNOTICS/BARBITURATES: Amytal, Seconal, Dalmane, Quaalude, Phenobarbital

HEROIN

STREET OR ILLICIT METHADONE

OTHER OPIOIDS: Tylenol #2 & #3, 282'S, 292'S, Percodan, Percocet, Opium, Morphine, Demerol, Dilaudid

HALLUCINOGENS: LSD, PCP, STP, MDA, DAT, mescaline, peyote, mushrooms, ecstasy (MDMA), nitrous oxide

INHALANTS: Glue, gasoline, aerosols, paint thinner, poppers, rush, locker room

OTHER: specify

Signature

Clear

Should be Empty:

	Do you currently use this?
ALCOHOL
CANNABIS: Marijuana, hashish, hash oil
STIMULANTS: Cocaine, crack
STIMULANTS: Methamphetamine — speed, ice, crank
AMPHETAMINES/OTHER STIMULANTS:
Ritalin, Benzedrine, Dexedrine
BENZODIAZEPINES/TRANQUILIZERS: Valium, Librium, Halcion, Xanax, Diazepam, "Roofies"
SEDATIVES/HYPNOTICS/BARBITURATES: Amytal, Seconal, Dalmane, Quaalude, Phenobarbital
HEROIN
STREET OR ILLICIT METHADONE
OTHER OPIOIDS: Tylenol #2 & #3, 282'S, 292'S, Percodan, Percocet, Opium, Morphine, Demerol, Dilaudid
HALLUCINOGENS: LSD, PCP, STP, MDA, DAT, mescaline, peyote, mushrooms, ecstasy (MDMA), nitrous oxide
INHALANTS: Glue, gasoline, aerosols, paint thinner, poppers, rush, locker room

ABOUT US

At our Practice we are dedicated to serving the community through personalized and timely medical visits. We do this by limiting the number of patients we schedule each day and making sure our doctors are accessible for urgent care appointments and follow up needs.

Foggybottom Clinic

24th and I,
908 New Hampshire Av NW,
Suite 400,
Washington, DC 20037

202.463.5141