Update row ('7ed858f5-1992-4c25-864f-73abcc3679e2', '34c7193c-d96f-448e-a617-43d60071f00f', 'dictations-2025_09_17_145637.pdf', '{"name": "dictations-2025_09_17_145637.pdf", "content_type": "application/octet-stream", "size": 45023, "data": {"patient_id": "b3e7cc30-1ba8-11f0-b706-c183bb9a9165"}, "collection_name": "file-7ed858f5-1992-4c25-864f-73abcc3679e2"}', '1772237370', '4a2b653f0a50a9b502f7f58fa5b2c907cc5711756758ece652afa790f87d553a', '{"status": "completed", "content": "8500 Blackfoot Trl SE #250\\nCalgary, AB, T2J 7E1\\nTel:4038797911 Fax:4038797899\\n17 September 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 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0 \\u00a0\\u00a0\\nA43819\\n\\u00a0\\nAamir, Rabbiya\\n\\u00a0\\nFax:\\u00a0 \\u00a0 \\u00a0\\n\\u00a0\\nRE:\\u00a0 \\u00a0 \\u00a0Div Kash\\nPHN:\\u00a0 666777888\\nDOB:\\u00a0\\u00a012 December 2025\\n\\u00a0\\nDear Dr.Aamir, Rabbiya\\n\\u00a0\\nThank you very much for allowing me to participate in Div\'s care.\\n\\u00a0\\nF denies chest pains/classic exertional chest pains or with emotional stress. There is non-specific\\nshortness of breath on increased exertion without pedal edema, orthopnea or PND. There is no\\npalpitations, pre-syncope, syncope or claudication. There are no calf pain tenderness or redness, calf\\nswelling, hormones like birth control, injury, surgery, immobilization or cancer.\\u00a0\\n\\u00a0\\nCARDIAC RISK FACTORS and PAST MEDICAL HISTORY:\\nNo Diabetes with A1C\\nNo Hypertension with BP today -\\u00a0 mmHg\\nNo Dyslipidemia with LDL mmol/L\\nNo Obesity with BMI kg/m2\\n\\u00a0\\nMEDICATIONS:sdcsb\\n-\\nALLERGIES:ver\\nNKDA\\nFAMILY HISTORY:v3q\\nNo family history of premature heart disease or stroke (M-55 and women 65) in first degree relatives. No\\nsudden cardiac/unexpected death in extended family\\n\\u00a0\\nSOCIAL HISTORY:\\nThe patient is a non-smoker.\\u00a0F\\u00a0drinks socially and denies illicit substances.\\n\\u00a0\\nPHYSICAL EXAMINATION:\\nThe patient looks well and in no distress. Blood pressure: - Heart Rate: - JVP was normal Pedal radial and\\ncarotid pulses are normal and there is no pedal edema. Heart sounds are normal without any murmurs\\nLungs were clear.\\n\\u00a0\\nINVE STIGATIONS:\\nECG in the clinic revealed normal sinus rhythm with no evidence of acute ischemia.\\nStress Test\\u00a0o file shows no high risk findings at minutes on the Bruce protocol\\nEchocardiogram on file shows no gross pathology influencing clinical magement\\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025\\nPage 1 of 2 Carotid ultrasound on file shows mild or moderate disease\\nMPI on file shows overall normal study\\nHolter shows overall reassuring findings\\n24 hour BP monitor reasonable control\\nCXR on file shows no gross cardio respiratory pathology\\nAngiogram on file shows no critical disease with no LM and no pLAD lesions of significance\\nAbdominal imaging shows atherosclerosis of the abdo aorta without aneurysm\\nBlood work shows eGFR TSH ACR Hemoglobin\\n\\u00a0\\nIMPRESSION and PLAN\\nThis 0 year old\\u00a0female\\u00a0\\u00a0with risk factors as above is presenting with non-specific symptoms. I have\\narranged a stress test. On the whole I feel that the cardiac prognosis is reassuring. For the long run, I\\ncounselled with regards to ongoing diet exercise and weight loss strategies for ongoing risk reduction\\nand improved quality of life\\n\\u00a0\\nI discussed smoking cessation and\\n\\u00a0\\nI will follow-up with Div after the above tests.\\n\\u00a0\\nIn the meantime if there is any questions or concerns please do not hesitate to contact me at any time.\\n\\u00a0\\nYours\\u00a0Sincerely,\\u00a0\\nDr.\\u00a0Ravi\\u00a0Varshney,\\u00a0MD,\\u00a0FRCPC\\u00a0\\nCardiologist\\u00a0\\nRV/\\n\\u00a0\\n\\u00a0\\nDictation\\u00a0file:\\u00a0Varshney\\u00a0\\n\\u00a0\\nDICTATED\\u00a0BUT\\u00a0NOT\\u00a0READ\\u00a0TO\\u00a0AVOID\\u00a0DELAY\\u00a0\\n\\u00a0\\n\\u00a0\\n\\u00a0\\nInformation contained in this communication may be confidential and is intended only for the use of the recipient(s). If the reader of\\nthis message is not the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this\\ncommunication or any of its contents is strictly prohibited. If you received this communication in error, Please return it to the sender\\nand contact Advanced Cardiology 403-235-4109.\\nPage 2 of 2\\nName: Div Kash | PHN: 666777888 | DOB: 12 Dec, 2025"}', '1772237370', '/home/sid/xevyo/open-webui-dev/backend/data/uploads/7ed858f5-1992-4c25-864f-73abcc3679e2_dictations-2025_09_17_145637.pdf', 'null') in file