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PARK NICOLL�T CLINTC <br /> ST. LOUIS PARI�, MN. 55426 <br /> Name : ICLLLOGG, I;risti A. Service Date : 07/13/2010 <br /> MFZ # : 0469807_� PNC # ; 77925 Dicta.ting Clinician: ROGER RHOD�S <br /> DOL : 1"l��ep50 AGE: 59 Ac.�ct Type : <br /> Visit # : Dept :OBG Acct # : <br /> 'lranscription Type : LETTER <br /> Jilly 13 , 2010 <br /> RE: I�risti Kellogg <br /> MRN: 04698018 <br /> DOP: 09�11�1950 <br /> To Whom it May Concern: <br /> Ou�_• recorcls indicate a clinic note dictated by Dr. John Reichert <br /> dated March 13 , 1996, states the patient has recently been <br /> cliagnosed with multiple sclerosis . Anothei note dated �ugust 16 <br /> 2000 , states the pat.ient has optic neuro paresthesia seconda.ry to <br /> multiple sclerosis . Also noted in our clinic notes are history of <br /> paro:iysmal atrial tach�rcardia. <br /> OctoUer 9, 2000, is a note from Sand�a Hanson, one of our <br /> neurologisi�s who sees ttie patient because of a priol: history of <br /> optic neu.ritis and a diagnosis of possible multiple sclerosis . <br /> She also has migraine headache disorder, and ai� that time her disease <br /> p.rogression appeared to be stabl.e and no additional testing was <br /> noted. She was insti�ucted to follow up on an as-needed ]�asis, <br /> partir�ularly if she should develop any further symptoms <br /> suggestive of multiple sclerosis . <br /> Orl JLily 24 , 2001, she was once again seen by Sandra Han�on, <br /> neur_oloqist, complaining of a numbei of minor neurologic symptoms <br /> of uncert.ain significance; one can refe�- to that note . Some <br /> diificulty with ambulation and some transient si�iffness and <br /> feelirtgs in her legs . Dr. Hanson has felt �hat the symptoms wei-e <br /> oi unc.er.tain significance and do not relate to any progression of <br /> demyelin.ating injury. Subsec�uent to that, there has been zZo <br /> evidence of c.lisease or �rogression of disease and no visits in <br /> our clinica.7_ recor_d with neuzologist . <br /> Assessment is previous history of symptoms suggestive of multiple <br /> scle.rosis as mana_fested by optic neuritis . There has beei� apparently no <br /> pi:og�_ession of disease over the subsequent ten years . <br /> Sincerely, <br /> ,.,�„� <br /> �� C� <br />