Delete row ('7df87995-ecfd-4cbe-ae7f-c388b4518231', '34c7193c-d96f-448e-a617-43d60071f00f', 'dictations-2025_09_25_085638.pdf', '{"name": "dictations-2025_09_25_085638.pdf", "content_type": "application/octet-stream", "size": 43358, "data": {"patient_id": "b3e7cc30-1ba8-11f0-b706-c183bb9a9165"}, "collection_name": "file-7df87995-ecfd-4cbe-ae7f-c388b4518231"}', '1772237369', '894c121e3500ae5d1c2d889d0f77b4d057b0542edd88a112440e0cfe62e54335', '{"status": "completed", "content": "52 Castelfall way NEasdasdasd\\ncalgary, asdsadsad, t3j1m7\\nTel:1234567876 Fax:1234345676\\n14 July 2025\\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0A79878\\n\\u00a0\\nDr. Ananya Das\\n\\u00a0\\nFax:\\u00a0 \\u00a0 \\u00a04032637996\\n\\u00a0\\nRE:\\u00a0 \\u00a0 \\u00a0 \\u00a0Janina Wanda Wisniewski\\nPHN:\\u00a0 779986220\\nDOB:\\u00a0\\u00a007 October 1950\\n\\u00a0\\nDear Dr. Ananya Das\\n\\u00a0\\nThank you for bringing this patient to our attention. I saw the patient with their daughter, Sandra. There is non-\\nspecific chest pains without patterns. There is no exertional chest pains or with emotional stress. There is non-\\nspecific shortness of breath on exertion. There is non-specific palpitations and dizziness without syncope. She\\u00a0is\\noverall better from a symptoms standpoint. Investigations were reviewed with patient and, thus far have not\\nrevealed any major findings necessitating the need for cardiac interventions at this point based on risks/benefits,\\nas reviewed with patient. Physical examination today was non-contributory.\\nI reviewed the echocardiogram and thank-fully to me the PASP seems over-estimated but I have referred to Dr.\\nDebek (GIM with special interest in Respirology) to further assess given history of PMR as well.\\u00a0\\n\\u00a0\\nIn terms of risk reduction, again, I reviewed life-style strategies as needed. For cardiovascular risk reduction\\ntargets, I reviewed the biochemical risk profile and recommended the current guidelines directed goals (LDL,\\nA1C, Blood-pressures) and based on risks/benefits discussions recommended: ongoing follow-up.\\u00a0\\n\\u00a0\\nIt was explained to the patient that this is an evaluation of the present cardiovascular\\u00a0assessment and risk\\nprofile. Though this is a thorough work-up of the current clinical picture,\\u00a0cardiovascular disease can behave\\nunpredictably and that any change in symptoms\\u00a0or concerns should prompt further health care advice and a\\npossible reassessment. To this\\u00a0regard, the patient was also provided our contact and/or advised to call 911, as\\nneeded. I have also provided my email (rvarshney@cardiai.com) for non-urgent matters to review during work-\\nhours only, as applicable.\\u00a0\\n\\u00a0\\nAll\\u00a0questions\\u00a0as\\u00a0pertaining\\u00a0to\\u00a0the\\u00a0above\\u00a0matters\\u00a0were\\u00a0answered.\\u00a0\\n\\u00a0\\nI\\u00a0recommended\\u00a0for\\u00a0the\\u00a0patient\\u00a0to\\u00a0further\\u00a0review\\u00a0these\\u00a0suggestions\\u00a0with\\u00a0you.\\n\\u00a0\\nI\\u00a0have\\u00a0arranged\\u00a0a\\u00a0stress alsdf;lh;uiwehfajksdfkjah;foha;skdfjalsdjhfkajhf;ahfWF and\\u00a0 follow-\\nup.\\u00a0If\\u00a0in\\u00a0the\\u00a0meantime\\u00a0there\\u00a0are\\u00a0any\\u00a0questions\\u00a0or\\u00a0concerns\\u00a0please\\u00a0do\\u00a0not\\u00a0hesitate\\u00a0to\\u00a0contact\\u00a0me.\\n\\u00a0\\n\\u00a0\\nYours\\u00a0Sincerely,\\u00a0\\nDr.\\u00a0Ravi\\u00a0Varshney,\\u00a0MD,\\u00a0FRCPC\\u00a0\\nCardiologist\\u00a0\\nRV/\\n\\u00a0\\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025\\nPage 1 of 2 Dictation\\u00a0file:\\u00a0Varshney\\u00a0\\n\\u00a0\\nDICTATED\\u00a0BUT\\u00a0NOT\\u00a0READ\\u00a0TO\\u00a0AVOID\\u00a0DELAY\\u00a0\\u00a0\\n\\u00a0\\n\\u00a0\\nInformation contained in this communication may be confidential and is intended only for the use of the\\nrecipient(s). If the reader of this message is not the intended recipient, you are hereby notified that any\\ndissemination, distribution, or copying of this communication or any of its contents is strictly prohibited. If you\\nreceived this communication in error, Please return it to the sender and contact Advanced Cardiology 403-235-\\n4109.\\ntest\\nPage 2 of 2\\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025"}', '1772237369', '/home/sid/xevyo/open-webui-dev/backend/data/uploads/7df87995-ecfd-4cbe-ae7f-c388b4518231_dictations-2025_09_25_085638.pdf', 'null') from file

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