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PRIMARY CARE
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Dr. Rachel Green
Arizona Grace Hospital
121 S Hospital Rd, Chandler, AZ 112211
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YOUR PRIMARY PHYSICIAN
Rachel Green, MD
Arizona Grace Hospital
121 S Hospital Rd, Chandler, AZ
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Arizona Grace Hospital
121 S Hospital Rd, Chandler, AZ 112211
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Wed, 18 Dec 2025
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REFERRAL
Dr. Phoebe Buffay, MD
Endocrinologist · Arizona Grace
Referred by Dr. Rachel Green
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UPCOMING TEST
Arizona Quest Laboratories
900 W Lab Work Rd, Chandler, AZ 112211
Requested by Rachel Green, MD
AWAITING RESULTS
Nothing pending
If you're expecting a result, contact Arizona Quest Laboratories at (100) 100-1000.
Past results
Lab result
Collected on September 21, 2023
TSH
HIGH
7.22
mU/L
Normal range 0.27 – 4.20 mU/L
7.22
0.27
4.20
Provider note
Your TSH is above range, which can be linked to the fatigue you described. Let's review this together at your next visit.
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Progress notes
Dr. Rachel Green · 09/21/23
Patient · Sasha Mason
Payer · Blue Cross Blue Shield
SUBJECTIVE
- Patient states she is overall healthy.
- Allergy testing showed a possible dairy allergy.
- Semi-active lifestyle; walks after every meal.
- Drinks occasionally, about 3× per year.
- No tobacco or illicit drugs. Reports good mood.
- Recently moved to Arizona to pursue a veterinary degree.
- Needs vaccines; will return for a vaccine-only appointment.
HISTORY
Smoking · Never
Smokeless tobacco · Never
Alcohol · Rarely
Drug use · Never
Family · Thyroid (father)
Family · Diabetes (mother)
Smokeless tobacco · Never
Alcohol · Rarely
Drug use · Never
Family · Thyroid (father)
Family · Diabetes (mother)
VITALS
BP · 90/70
Pulse · 83
Resp · 18
Temp · Tympanic
Weight · 52.1 kg
Height · 5'3"
Pulse · 83
Resp · 18
Temp · Tympanic
Weight · 52.1 kg
Height · 5'3"
PHYSICAL EXAM
Vitals reviewed. Exam conducted with a chaperone present.
Constitutional · Normal appearance.
HENT · Head atraumatic.
Eyes · Extraocular movements intact.
Cardiovascular · Normal rate and regular rhythm.
Pulmonary · Effort normal, breath sounds normal.
Abdominal · Bowel sounds normal.
Musculoskeletal · Normal range of motion.
Skin · Warm and dry.
Neurological · No focal deficit; alert and oriented.
Psychiatric · Mood and behavior normal.
Constitutional · Normal appearance.
HENT · Head atraumatic.
Eyes · Extraocular movements intact.
Cardiovascular · Normal rate and regular rhythm.
Pulmonary · Effort normal, breath sounds normal.
Abdominal · Bowel sounds normal.
Musculoskeletal · Normal range of motion.
Skin · Warm and dry.
Neurological · No focal deficit; alert and oriented.
Psychiatric · Mood and behavior normal.
ASSESSMENT & PLAN
Sasha was seen today after moving to Arizona, concerned about the T4 Free test taken at her previous practice.
Diagnoses and orders for this visit:
· Fatigue
· Family history of hypothyroidism (father)
· Results: TSH 7.22, T4 1.7
Diagnoses and orders for this visit:
· Fatigue
· Family history of hypothyroidism (father)
· Results: TSH 7.22, T4 1.7
PATIENT INSTRUCTIONS
Aim for at least 150 minutes of aerobic activity per week — about 30 minutes, five times a week. Moderate intensity means your heart rate is 50–60% above resting: hiking, dancing, gardening, walking, cycling, swimming or sport all count.
Please include about 12 g of fiber with each meal.
Contact us with any questions about your visit. My medical assistants Laura and Inara are available at 480-534-4515, Monday–Friday, 8am–5pm.
Please include about 12 g of fiber with each meal.
Contact us with any questions about your visit. My medical assistants Laura and Inara are available at 480-534-4515, Monday–Friday, 8am–5pm.
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