Date Note Type Note Provider Name and Address Organization Details Recorded Time

09/27/2021

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Rash/Skin Lesion Reported by Patient HPI For quality, patient reports multiple (two) but reports not painful . For location, patient reports chest (two lumps) . For duration, patient reports has noted for >3 months (5 yrs) . For associated symptoms, patient reports no fever .

New pt is here to establish pcp. pt said he had on and off episodes of lightheadedness , denied chest pain or palpitations . Pt admits he has anxiety with some panic symptoms , declined med , he could manage without med per pt

Nanthini Suthan, MD

Attn: Accounting,2041 GOOSE LAKE RD, East Saint Louis, IL, 62206-2822, US

IL - SIHF 09/27/2021 15:15:47

10/12/2021

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Anemia Reported by Patient HPI For context, patient reports previous hemoglobin: (7.1) and low iron . For associated symptoms, patient reports blood in stool but reports no shortness of breath and no chest pain . For severity, patient reports microcytic (mcv<80) . For modifying factors, patient reports otc medication (nsaid) .

Rash/Skin Lesion Reported by Patient HPI For quality, patient reports multiple (two) but reports not painful . For location, patient reports chest (two lumps) . For duration, patient reports has noted for >3 months (5 yrs) . For associated symptoms, patient reports no fever .

Us showed lipoma .

pt is here for f/u and labs pt said he had on and off episodes of lightheadedness , denied chest pain or palpitations . Pt admits he has anxiety with some panic symptoms , declined med , he could manage without med per pt

Nanthini Suthan, MD

Attn: Accounting,2041 GOOSE LAKE RD, East Saint Louis, IL, 62206-2822, US

IL - SIHF 10/12/2021 15:51:44

11/12/2021

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Rash/Skin Lesion Reported by Patient HPI For quality, patient reports multiple (two) but reports not painful . For location, patient reports chest (two lumps) . For duration, patient reports has noted for >3 months (5 yrs) . For associated symptoms, patient reports no fever .

Us showed lipoma .

Anemia Reported by Patient HPI For context, patient reports previous hemoglobin: (8.0) and low iron . For associated symptoms, patient reports blood in stool but reports no shortness of breath and no chest pain . For severity, patient reports microcytic (mcv<80) . For modifying factors, patient reports otc medication (nsaid) .

pt was seen by GI yesterday and awaiting for colonoscopy/egd

pt is here for f/u and labs

Nanthini Suthan, MD

Attn: Accounting,2041 GOOSE LAKE RD, East Saint Louis, IL, 62206-2822, US

IL - SIHF 11/12/2021 15:52:37

03/01/2022

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Anemia Reported by Patient HPI For context, patient reports previous hemoglobin: (8.0) and low iron . For associated symptoms, patient reports blood in stool (due to colon cancer) but reports no shortness of breath and no chest pain . For severity, patient reports microcytic (mcv<80) . For timing, patient reports better . For modifying factors, patient reports otc medication (nsaid) . For prior tests, patient reports upper endoscopy (and colonoscopy) .

pt is here for f/u and labs pt was recently diagnosed with colon cancer -s/p lap colectomy 12/2021 -seeing onco

Nanthini Suthan, MD

Attn: Accounting,2041 GOOSE LAKE RD, East Saint Louis, IL, 62206-2822, US

IL - SIHF 03/01/2022 11:48:31

07/12/2022

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Anemia Reported by Patient HPI For context, patient reports previous hemoglobin: (8.0- improved) and low iron (pt is on chemo for colon cancer). For severity, patient reports microcytic (mcv<80) . For timing, patient reports better . For modifying factors, patient reports otc medication (nsaid) . For associated symptoms, patient reports no shortness of breath and no chest pain . For prior tests, patient reports upper endoscopy (and colonoscopy) .

pt is here for f/u and labs pt was recently diagnosed with colon cancer -s/p lap colectomy 12/2021 -seeing onco

Nanthini Suthan, MD

Attn: Accounting,2041 GOOSE LAKE RD, East Saint Louis, IL, 62206-2822, US

IL - SIHF 07/13/2022 16:18:08

01/18/2023

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Thyroid Reported by Patient HPI For context, patient reports history of hypothyroidism . For associated symptoms, patient reports constipation but reports no weight loss , no palpitations , no depression , and no fatigue . For duration, patient reports started: (partial thyroidectomy 9/2022) . For onset/timing, patient reports better . For modifying factors, patient reports medication (thyroid pill- taking med as prescribed.) .

pt is here for f/u pt has noticed cyst on L/foot , 2 months ago , not painful pt was recently diagnosed with colon cancer -s/p lap colectomy 12/2021 -seeing onco

Nanthini Suthan, MD

Attn: Accounting,2041 GOOSE LAKE RD, East Saint Louis, IL, 62206-2822, US

IL - SIHF 01/18/2023 15:54:30

07/25/2023

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Thyroid Reported by Patient HPI For context, patient reports history of hypothyroidism . For associated symptoms, patient reports constipation but reports no weight loss , no palpitations , no depression , and no fatigue . For duration, patient reports started: (partial thyroidectomy 9/2022) . For onset/timing, patient reports better . For modifying factors, patient reports medication (thyroid pill- taking med as prescribed.) .

Wrist/Hand Reported by Patient HPI For hand dominance, patient reports right . For location, patient reports right and ulnar . For severity, patient reports mild . For duration, patient reports 6 months . For associated symptoms, patient reports no weakness and no swelling .

pt is here for f/u

pt was diagnosed with colon cancer -s/p lap colectomy 12/2021 -seeing onco

pt is complaining of less hearing for a while , denied ear pain

Nanthini Suthan, MD

Attn: Accounting,2041 GOOSE LAKE RD, East Saint Louis, IL, 62206-2822, US

IL - SIHF 07/25/2023 14:03:55

11/30/2023

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Thyroid Reported by Patient HPI For context, patient reports history of hypothyroidism . For associated symptoms, patient reports constipation but reports no weight loss , no palpitations , no depression , and no fatigue . For duration, patient reports started: (partial thyroidectomy 9/2022) . For onset/timing, patient reports better . For modifying factors, patient reports medication (thyroid pill- taking med as prescribed.) .

pt is here for f/u

pt was diagnosed with colon cancer -s/p lap colectomy 12/2021 -seeing onco

Nanthini Suthan, MD

Attn: Accounting,2041 GOOSE LAKE RD, East Saint Louis, IL, 62206-2822, US

IL - SIHF 11/30/2023 09:50:11

05/02/2024

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pt is here for change in bowel habit with constipation /feeling tired and also recent lab showed anemia as well /denied abdominal pain -but has noticed dark color stool

pt was diagnosed with colon cancer -s/p lap colectomy 12/2021 -seeing onco

Nanthini Suthan, MD

Attn: Accounting,2041 GOOSE LAKE RD, East Saint Louis, IL, 62206-2822, US

IL - SIHF 05/02/2024 11:35:13

02/10/2025

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Patient presents to the clinic with acute complaint of a cough. Patient was established with Dr. Nan for primary care. Patient’s past medical history includes: hypothyroidism, adenocarcinoma of descending colon, OSA, thyroid nodule, ileal ulcer, anemia, GERD, asthma, and lobectomy of thyroid gland. Other providers: Oncologist: Dr. Arshad at mercy

Cough -Patient reports he started feeling unwell last Tuesday -Patient reports experiencing symptoms of fever, headache, chills, diarrhea, body aches, sinus congestion, productive cough-green/bloody sputum, and increased fatigue -Denies experiencing symptoms of nausea/vomiting -Patient reports he was around his father and nephew who were also sick. -Patient reports taking sudafed, aspirin, tylenol and vitamins for symptom management.

KELSEY BEARD, FNP-BC

Attn: Accounting,2041 GOOSE LAKE RD, East Saint Louis, IL, 62206-2822, US

IL - SIHF 03/08/2025 23:57:59

04/01/2025

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Patient presents to the clinic to establish care. Patient was previously established with Dr. Nan for primary care. Other providers: Dr. Arshad-oncology Dr. Tae-endocrinology

-Medical Hx/Surgical Hx: Hypothyroidism, adenocarcinoma of descending colon, sleep apnea, thyroid nodule, LDL ulcer, anemia, CKD, thrombocytopenic disorder, anxiety, GERD, asthma, lobectomy of thyroid gland, and small bowel resection.

-Family hx: Mother:deceased-chronic obstructive pulmonary disease Father: living-hypertensive disorder Maternal Grandmother: deceased-old age, DMII Maternal Grandfather: deceased-unknown Paternal Grandmother: deceased-unknown Paternal Grandfather: deceased-unknown

-Tobacco/Drug/Alcohol Use: Patient denies history of tobacco or drug use. Reports history of alcohol use socially, but quit using alcohol in 2015.

Chicken pox: unsure

Marital status: in a long term relationship 16+ yrs

Sexually active: yes

Occupation: SIUE

Highest level of education: Masters

Other habits: Exercise- occasionally Diet- Reg

Allergies: NKDA

KELSEY BEARD, FNP-BC

Attn: Accounting,2041 GOOSE LAKE RD, East Saint Louis, IL, 62206-2822, US

IL - SIHF 04/20/2025 13:00:49

06/10/2025

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Patient presents to the clinic with acute concerns for migraines. Patient’s past medical history includes: Hypothyroidism, adenocarcinoma of descending colon, sleep apnea, thyroid nodule, LDL ulcer, anemia, CKD, thrombocytopenic disorder, anxiety, GERD, asthma, lobectomy of thyroid gland, and small bowel resection. Other providers: Dr. Arshad-oncology Dr. Tae-endocrinology

-Patient reports his migraines have improved since his chemo was paused, but he is worried they will worsen as his chemo is restarting. -Patient reports sumatriptan does help -Negative brain MRI -Patient has been having daily migraines. He has had to use some pain medication to provide relief. -Patient reports daily sudafed use, drinking 6 cups of coffee daily, taking ibuprofen/tylenol frequently

KELSEY BEARD, FNP-BC

Attn: Accounting,2041 GOOSE LAKE RD, East Saint Louis, IL, 62206-2822, US

IL - SIHF 06/10/2025 17:22:51

10/08/2025

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Patient is a 50 year old Caucasian male presenting to the clinic with for migraine follow up. Patient’s past medical history includes: Hypothyroidism, adenocarcinoma of descending colon, sleep apnea, thyroid nodule, LDL ulcer, anemia, CKD, thrombocytopenic disorder, anxiety, GERD, asthma, lobectomy of thyroid gland, and small bowel resection. Other providers: Dr. Arshad-oncology Dr. Tae-endocrinology

-Patient reports he decreased caffeine intake -Migraines have improved with propranolol -Patient reports he still has frequent headaches, but not as severe -He is taking propranolol 1.5 times per day. He does not take twice a day regularly -Patient reports chemo is going well, he has no new cancer growth. He is taking a trip to New York in December.

KELSEY BEARD, FNP-BC

Attn: Accounting,2041 GOOSE LAKE RD, East Saint Louis, IL, 62206-2822, US

IL - SIHF 10/08/2025 16:00:32

10/27/2025

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ROS as noted in the HPI

CHIEF COMPLAINT/ PRESENTING CONCERNS

Medication management

HISTORY OF PRESENT ILLNESS (Bold symptoms that meet DSM-5 Diagnostic Criteria)

PSYCHIATRIC HISTORY

MSE: (chronological development of symptoms - onset, duration, severity, triggers, modifying factors, associated symptoms):

Patient presents to clinic for medication management. 1.5 years ago was diagnosed with stage 4 cancer and given 1 year to live. Was rx. Lorazepam and Ambien by oncology. States medications work well to ease anxiety and sleep disturbance.

Patient in bouts of insomnia. Not as needed as Lorazepam, but very helpful.

Anxiety

Onset: has been dealing with cancer for 5 years. Was in remission for 1 year, then had a reoccurrence at stage 4. He was given a year to live at the time.

Characteristics: has anxiety going in to chemo. Effects him mentally. Questions about mortality and existential thoughts, he obsesses over this. He is still doing research for his PhD.

Triggers: physical pains (mouth sores, diarrhea, inflammation), approaching chemo. Illness, thinking may be worse than what he thought. Questioning mortality.

Insomnia

Occurs every once in a while, previously slept with no issue. When doing research will have trouble going to bed. Will stay up until 6am and wake at 9am. Ambien helps him maintain sleep schedule.

Past diagnoses: anxiety not formally diagnosed

AVH: denies

Mood: feeling fine

How are you doing today (0-10)

Current Medications: has been using for a year without incident

• Zolpidem 5mg has over 15 left

• Lorazepam 0.5mg has 6 left

Past Medications: none

Past psychiatrists: denies

Hospitalizations: denies

Counseling/Therapy: denies

MEDICAL HISTORY

Illness/Injuries/Surgeries: Stage 4 colon cancer. Anemia. Hypothyroidism. Renal impairment. Speech impediment as a child.

Allergies/Seizures/Head injuries: seasonal/denies/denies

PCP: Kelsey Beard

ROS (constitution, vision, hearing, scent, mouth, cardiac, pulmonary, gastro, urinary, skin, musculoskeletal, neurological)

• night sweats, fevers: denies

• vision, hearing, sinus changes, issues with teeth, throat, gums: wears glasses. Mouth sores.

• cardiac - chest pain, palpitation, racing heart: denies

• pulmonary – difficulty breathing, coughing: hx. of sleep apnea

• gastro – upset stomach, diarrhea, constipation, reflux: lifelong constipation. Reflux mild. Diarrhea

• urinary – pain, urgency, difficulty, retention: denies

• skin issues: various d/t chemotherapy

• musculoskeletal – muscle, bone, joint pain, or discomfort: nothing out of ordinary

• neuro – weakness, numbness, dizziness, headache, tremors: denies

FAMILY PSYCHIATRIC/MEDICAL HISTORY

Mother:

Father:

Siblings:

Grandmother:

Grandfather:

DEVELOPMENTAL SOCIAL HISTORY

Childhood: Had a regular childhood. 2 sisters, 1 passed away from cardiac event. Recently reconnected with other and they get along. Mother passed away. Father is still living. He lives with patient. Father is going across country on his motorcycle.

Relationship: partner living together for 15 years and been together 18 years. Feels safe

Work/ Educational

History: Did carpentry for 10 years prior. Master’s degree in computer science and mathematics and going for PhD in computer science.

Adverse life events: denies

SUBSTANCE USE/ABUSE

Alcohol: denies remission since 2015, quit cold turkey as he did not make best decisions on it.

Tobacco/vape: denies; denies

Marijuana: denies; denies

Caffeine: endorses tea now and then, in the past overused, but stopped d/t headaches.

Others: no

RISK ASSESSMENT

In the past month

1. Have you wished you were dead or wished you could go to sleep and not wake up? Denies has too many things he wants to do before he dies.

2. Have you actually had any thoughts of killing yourself? denies

3. Have you ever done anything, started to do anything, or prepared to do anything to end your life? denies

4. Self-harm behaviors:

Homicidal ideations: denies

Weapons: denies

Legal/Arrests/DUI:

ACTIVITIES OF DAILY LIVING

Sleep concerns: intermittent difficulty sleeping; difficulty falling and staying asleep. Occurs when he gets involved with his research and stays up too long and can’t go to bed and this interferes with his week.

Change in appetite: appetite has returned now that he is on reduce chemo.

SEXUALITY ASSESSMENT

LMP and Contraception:

Sexually active:

Assigned gender at birth:

Pronouns:

Nicole Bennett, NP

Attn: Accounting,2041 GOOSE LAKE RD, East Saint Louis, IL, 62206-2822, US

IL - SIHF 10/29/2025 22:52:30

11/25/2025

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ROS as noted in the HPI

11/25/25 - Mood: pretty good Cc: denies Spotted some lesions in his liver. Meeting with surgeon tomorrow. Colon and bowels have been clean since.

SIHISIB: denies AVH: denies New or increased use of substance of abuse: denies Sleep: sleeping more this past week, d/t anxiety from news of spot on liver Appetite: no changes

CHIEF COMPLAINT/ PRESENTING CONCERNS Medication management

HISTORY OF PRESENT ILLNESS (Bold symptoms that meet DSM-5 Diagnostic Criteria) PSYCHIATRIC HISTORY MSE: (chronological development of symptoms - onset, duration, severity, triggers, modifying factors, associated symptoms): Patient presents to clinic for medication management. 1.5 years ago was diagnosed with stage 4 cancer and given 1 year to live. Was rx. Lorazepam and Ambien by oncology. States medications work well to ease anxiety and sleep disturbance. Patient in bouts of insomnia. Not as needed as Lorazepam, but very helpful.

Anxiety Onset: has been dealing with cancer for 5 years. Was in remission for 1 year, then had a reoccurrence at stage 4. He was given a year to live at the time. Characteristics: has anxiety going in to chemo. Effects him mentally. Questions about mortality and existential thoughts, he obsesses over this. He is still doing research for his PhD. Triggers: physical pains (mouth sores, diarrhea, inflammation), approaching chemo. Illness, thinking may be worse than what he thought. Questioning mortality.

Insomnia Occurs every once in a while, previously slept with no issue. When doing research will have trouble going to bed. Will stay up until 6am and wake at 9am. Ambien helps him maintain sleep schedule.

Past diagnoses: anxiety not formally diagnosed AVH: denies Mood: feeling fine How are you doing today (0-10)

Current Medications: has been using for a year without incident

• Zolpidem 5mg has over 15 left
• Lorazepam 0.5mg has 6 left Past Medications: none

Past psychiatrists: denies Hospitalizations: denies Counseling/Therapy: denies

MEDICAL HISTORY Illness/Injuries/Surgeries: Stage 4 colon cancer. Anemia. Hypothyroidism. Renal impairment. Speech impediment as a child. Allergies/Seizures/Head injuries: seasonal/denies/denies PCP: Kelsey Beard

ROS (constitution, vision, hearing, scent, mouth, cardiac, pulmonary, gastro, urinary, skin, musculoskeletal, neurological)

• night sweats, fevers: denies
• vision, hearing, sinus changes, issues with teeth, throat, gums: wears glasses. Mouth sores.
• cardiac - chest pain, palpitation, racing heart: denies
• pulmonary – difficulty breathing, coughing: hx. of sleep apnea
• gastro – upset stomach, diarrhea, constipation, reflux: lifelong constipation. Reflux mild. Diarrhea
• urinary – pain, urgency, difficulty, retention: denies
• skin issues: various d/t chemotherapy
• musculoskeletal – muscle, bone, joint pain, or discomfort: nothing out of ordinary
• neuro – weakness, numbness, dizziness, headache, tremors: denies

FAMILY PSYCHIATRIC/MEDICAL HISTORY Mother: Father: Siblings: Grandmother: Grandfather:

DEVELOPMENTAL SOCIAL HISTORY Childhood: Had a regular childhood. 2 sisters, 1 passed away from cardiac event. Recently reconnected with other and they get along. Mother passed away. Father is still living. He lives with patient. Father is going across country on his motorcycle. Relationship: partner living together for 15 years and been together 18 years. Feels safe Work/ Educational

History: Did carpentry for 10 years prior. Master’s degree in computer science and mathematics and going for PhD in computer science. Adverse life events: denies

SUBSTANCE USE/ABUSE Alcohol: denies remission since 2015, quit cold turkey as he did not make best decisions on it. Tobacco/vape: denies; denies Marijuana: denies; denies Caffeine: endorses tea now and then, in the past overused, but stopped d/t headaches. Others: no

RISK ASSESSMENT In the past month

1. Have you wished you were dead or wished you could go to sleep and not wake up? Denies has too many things he wants to do before he dies.
2. Have you actually had any thoughts of killing yourself? denies
3. Have you ever done anything, started to do anything, or prepared to do anything to end your life? denies
4. Self-harm behaviors: Homicidal ideations: denies Weapons: denies Legal/Arrests/DUI:

ACTIVITIES OF DAILY LIVING Sleep concerns: intermittent difficulty sleeping; difficulty falling and staying asleep. Occurs when he gets involved with his research and stays up too long and can’t go to bed and this interferes with his week. Change in appetite: appetite has returned now that he is on reduce chemo.

SEXUALITY ASSESSMENT LMP and Contraception: Sexually active: Assigned gender at birth: Pronouns:

Nicole Bennett, NP

Attn: Accounting,2041 GOOSE LAKE RD, East Saint Louis, IL, 62206-2822, US

IL - SIHF 11/25/2025 16:01:43

01/26/2026

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ROS as noted in the HPI

1/26 - Mood: good Cc: going into more intense chemo for a while. Had surgery 12/18 - recovered

SIHISIB: denies AVH: denies New or increased use of substance of abuse: denies Sleep: ok Appetite: off chemo for past 2 month, so eating quite a bit.

11/25/25 - Mood: pretty good Cc: denies Spotted some lesions in his liver. Meeting with surgeon tomorrow. Colon and bowels have been clean since.

SIHISIB: denies AVH: denies New or increased use of substance of abuse: denies Sleep: sleeping more this past week, d/t anxiety from news of spot on liver Appetite: no changes

CHIEF COMPLAINT/ PRESENTING CONCERNS Medication management

HISTORY OF PRESENT ILLNESS (Bold symptoms that meet DSM-5 Diagnostic Criteria) PSYCHIATRIC HISTORY MSE: (chronological development of symptoms - onset, duration, severity, triggers, modifying factors, associated symptoms): Patient presents to clinic for medication management. 1.5 years ago was diagnosed with stage 4 cancer and given 1 year to live. Was rx. Lorazepam and Ambien by oncology. States medications work well to ease anxiety and sleep disturbance. Patient in bouts of insomnia. Not as needed as Lorazepam, but very helpful.

Anxiety Onset: has been dealing with cancer for 5 years. Was in remission for 1 year, then had a reoccurrence at stage 4. He was given a year to live at the time. Characteristics: has anxiety going in to chemo. Effects him mentally. Questions about mortality and existential thoughts, he obsesses over this. He is still doing research for his PhD. Triggers: physical pains (mouth sores, diarrhea, inflammation), approaching chemo. Illness, thinking may be worse than what he thought. Questioning mortality.

Insomnia Occurs every once in a while, previously slept with no issue. When doing research will have trouble going to bed. Will stay up until 6am and wake at 9am. Ambien helps him maintain sleep schedule.

Past diagnoses: anxiety not formally diagnosed AVH: denies Mood: feeling fine How are you doing today (0-10)

Current Medications: has been using for a year without incident

• Zolpidem 5mg has over 15 left
• Lorazepam 0.5mg has 6 left Past Medications: none

Past psychiatrists: denies Hospitalizations: denies Counseling/Therapy: denies

MEDICAL HISTORY Illness/Injuries/Surgeries: Stage 4 colon cancer. Anemia. Hypothyroidism. Renal impairment. Speech impediment as a child. Allergies/Seizures/Head injuries: seasonal/denies/denies PCP: Kelsey Beard

ROS (constitution, vision, hearing, scent, mouth, cardiac, pulmonary, gastro, urinary, skin, musculoskeletal, neurological)

• night sweats, fevers: denies
• vision, hearing, sinus changes, issues with teeth, throat, gums: wears glasses. Mouth sores.
• cardiac - chest pain, palpitation, racing heart: denies
• pulmonary – difficulty breathing, coughing: hx. of sleep apnea
• gastro – upset stomach, diarrhea, constipation, reflux: lifelong constipation. Reflux mild. Diarrhea
• urinary – pain, urgency, difficulty, retention: denies
• skin issues: various d/t chemotherapy
• musculoskeletal – muscle, bone, joint pain, or discomfort: nothing out of ordinary
• neuro – weakness, numbness, dizziness, headache, tremors: denies

FAMILY PSYCHIATRIC/MEDICAL HISTORY Mother: Father: Siblings: Grandmother: Grandfather:

DEVELOPMENTAL SOCIAL HISTORY Childhood: Had a regular childhood. 2 sisters, 1 passed away from cardiac event. Recently reconnected with other and they get along. Mother passed away. Father is still living. He lives with patient. Father is going across country on his motorcycle. Relationship: partner living together for 15 years and been together 18 years. Feels safe Work/ Educational

History: Did carpentry for 10 years prior. Master’s degree in computer science and mathematics and going for PhD in computer science. Adverse life events: denies

SUBSTANCE USE/ABUSE Alcohol: denies remission since 2015, quit cold turkey as he did not make best decisions on it. Tobacco/vape: denies; denies Marijuana: denies; denies Caffeine: endorses tea now and then, in the past overused, but stopped d/t headaches. Others: no

RISK ASSESSMENT In the past month

1. Have you wished you were dead or wished you could go to sleep and not wake up? Denies has too many things he wants to do before he dies.
2. Have you actually had any thoughts of killing yourself? denies
3. Have you ever done anything, started to do anything, or prepared to do anything to end your life? denies
4. Self-harm behaviors: Homicidal ideations: denies Weapons: denies Legal/Arrests/DUI:

ACTIVITIES OF DAILY LIVING Sleep concerns: intermittent difficulty sleeping; difficulty falling and staying asleep. Occurs when he gets involved with his research and stays up too long and can’t go to bed and this interferes with his week. Change in appetite: appetite has returned now that he is on reduce chemo.

SEXUALITY ASSESSMENT LMP and Contraception: Sexually active: Assigned gender at birth: Pronouns:

Nicole Bennett, NP

Attn: Accounting,2041 GOOSE LAKE RD, East Saint Louis, IL, 62206-2822, US

IL - SIHF 01/27/2026 14:00:09