Demetrius Martin

I Won the PCRAFT award at my current position. It is awarded to employees that go above and beyond at their position. I have been employees of the month at other jobs as well as being promoted to shift lead at a warehouse where I was employed for over a decade

• Demetrius Martin
• Summary of Care, generated on Oct. 21, 2024October 21, 2024
• Patient Demographics- Male; born May 21, 1981May 21, 1981
• Patient Demographics
• Patient Address Patient Name Communication
• 439 W ALLEN (Home)
• ALLENTOWN, PA 18102
• Former (Dec. 04, 2016 - Aug. 29, 2023):
• 607 Alpine Circle (Home)
• EMMAUS, PA 18049 Demetrius Martin 610-202-1122 (Home)
• 610-202-1122 (Mobile)
• Language Race / Ethnicity Marital Status
• English - Written (Preferred)
• Black or African American / Not Hispanic or Latino Single
• Note from St. Lukes University Health Network
• This document contains information that was shared with Demetrius Martin.
• It may not contain the entire record from St. Lukes University Health Network.

• Date Type Department Care Team (Latest Contact Info) Description
• 09/13/2024 10:00 AM EDT Office Visit
• Chew Street Primary Care St. Luke's Sacred Heart
• 451 Chew Street, Suite 400
• ALLENTOWN, PA 18102-3434
• 484-822-5970
• Tiffany Tran, PA-C
• 451 Chew Street
• Suite 400
• ALLENTOWN, PA 18102-3472
• 484-822-5970 (Work)
• 833-691-7855 (Fax)

• Allergies- documented as of this encounter (statuses as of 10/21/2024)
• Allergies
• Active Allergy Reactions CriticalityNoted Date Comments
• Shellfish-Derived Products - Food Allergy AnaphylaxisHigh 05/01/2017

• Medications- documented as of this encounter (statuses as of 10/21/2024)
• Medications
• Medication Sig Dispensed Start Date End Date Status
• Fexofenadine (ALLEGRA) 60 MG tablet
• Take 1 tablet by mouth 2 (two) times a day for 30 days
• 60 tablet
• 05/01/2017 09/13/2024 Discontinued (Therapy completed)

• Active Problems- documented as of this encounter (statuses as of 10/21/2024)
• Active Problems
• Problem Noted Date Diagnosed Date
• Prediabetes 09/13/2024
• Mixed hyperlipidemia 09/13/2024
• Overweight (BMI 25.0-29.9) 09/13/2024

• Immunizations- documented as of this encounter
• Immunizations
• Name Administration Dates Next Due
• COVID-19 PFIZER VACCINE 0.3 ML IM 10/22/2021, 10/01/2021
• INFLUENZA 10/22/2021, 03/01/2018
• Influenza, seasonal, injectable, preservative free 09/13/2024
• Tdap 01/01/2018

• Social History- documented as of this encounter
• Social History
• Tobacco Use Types Packs/Day Years Used Date
• Smoking Tobacco: Never
• Smokeless Tobacco: Never
• Alcohol Use Standard Drinks/Week
• Yes 1 (1 standard drink = 0.6 oz pure alcohol)
• AHC Utilities Answer Date Recorded
• In the past 12 months has the electric, gas, oil, or water company threatened to shut off services in your home? No 06/26/2024
• PHQ-2 Answer Date Recorded
• PHQ-2 Score 0 09/13/2024
• Hunger Vital SignAnswer Date Recorded
• Within the past 12 months, you worried that your food would run out before you got the money to buy more. Never true 06/26/2024
• Within the past 12 months, the food you bought just didn't last and you didn't have money to get more. Never true 06/26/2024
• PRAPARE - Transportation Answer Date Recorded
• In the past 12 months, has lack of transportation kept you from medical appointments or from getting medications? No 06/26/2024
• In the past 12 months, has lack of transportation kept you from meetings, work, or from getting things needed for daily living? No 06/26/2024
• Housing Stability Vital Sign Answer Date Recorded
• In the last 12 months, was there a time when you were not able to pay the mortgage or rent on time? No 06/26/2024
• In the past 12 months, how many times have you moved where you were living? 0 06/26/2024
• At any time in the past 12 months, were you homeless or living in a shelter (including now)? No 06/26/2024

• Sex and Gender Information Value Date Recorded
• Sex Assigned at Birth Male 09/12/2024 2:43 PM EDT
• Gender Identity Not on file
• Sexual Orientation Not on file

• Last Filed Vital Signs- documented in this encounter
• Vital Sign Reading Time Taken Comments
• Blood Pressure 124/80 09/13/2024 9:47 AM EDT
• Pulse 85 09/13/2024 9:47 AM EDT
• Temperature 36.3 C (97.4 F) 09/13/2024 9:47 AM EDT
• Respiratory Rate 16 09/13/2024 9:47 AM EDT
• Oxygen Saturation98% 09/13/2024 9:47 AM EDT
• Inhaled Oxygen Concentration -
• Weight 87.3 kg (192 lb 6.4 oz) 09/13/2024 9:47 AM EDT
• Height 177.8 cm (5' 10")09/13/2024 9:47 AM EDT
• Body Mass Index 27.61 09/13/2024 9:47 AM EDT

• Progress Notes- documented in this encounter
• Tiffany Tran, PA-C - 09/13/2024 10:00 AM EDT
• Formatting of this note is different from the original.
• Adult Annual Physical
• Name: Demetrius Martin | DOB: 5/21/1981 | MRN: 50005068632
• Encounter provider: Tiffany Tran, PA-C | Encounter Date: 09/13/2024
• Encounter department: CHEW STREET PRIMARY CARE ST. LUKE'S SACRED HEART
• Assessment & Plan
• Encounter to establish care
• No previous provider in the past 3 years, works as a tech at St. Luke's 17 Street
• Annual physical exam
• Prediabetes
• Lab Results
• Component Value Date
• HGBA1C 5.9 (H) 03/19/2024
• Encouraged low-carb diet.
• Orders:
• Hemoglobin A1C; Future
• Mixed hyperlipidemia
• CHOLESTEROL 260 (H) 03/19/2024
• CHOLESTEROL 259 (H) 08/30/2023
• HDL 42 03/19/2024
• HDL 39 (L) 08/30/2023
• TRIG 214 (H) 03/19/2024
• TRIG 144 08/30/2023
• NONHDLC 218 03/19/2024
• NONHDLC 220 08/30/2023
• LDLCALC 175 (H) 03/19/2024
• Recommend low-fat diet. Follow-up in 6 months for repeat labs.
• Lipid Panel with Direct LDL reflex; Future
• Overweight (BMI 25.0-29.9)
• BMI Counseling: Body mass index is 27.61 kg/m². The BMI is above normal.
• Nutrition recommendations include reducing portion sizes, decreasing overall calorie intake, 3-5 servings of fruits/vegetables daily, reducing fast food intake, consuming healthier snacks, and decreasing soda and/or juice intake. Exercise recommendations include exercising 3-5 times per week and strength training exercises.
• Has gradually gained weight in the past several years. Encouraged dietary modifications, well-balanced diet, increase fiber, cardiovascular exercise.
• Need for influenza vaccination
• Influenza vaccine preservative-free 0.5 mL IM (Fluzone, Afluria, Fluarix, FluLaval)
• Screening for cardiovascular condition
• Comprehensive metabolic panel; Future
• CBC and differential; Future
• Immunizations and preventive care screenings were discussed with patient today. Appropriate education was printed on patient's after visit summary.
• Discussed risks and benefits of prostate cancer screening. We discussed the controversial history of PSA screening for prostate cancer in the United States as well as the risk of over detection and over treatment of prostate cancer by way of PSA screening. The patient understands that PSA blood testing is an imperfect way to screen for prostate cancer and that elevated PSA levels in the blood may also be caused by infection, inflammation, prostatic trauma or manipulation, urological procedures, or by benign prostatic enlargement.
• The role of the digital rectal examination in prostate cancer screening was also discussed and I discussed with him that there is large interobserver variability in the findings of digital rectal examination.
• Counseling:
• Alcohol/drug use: discussed moderation in alcohol intake, the recommendations for healthy alcohol use, and avoidance of illicit drug use.
• Dental Health: discussed importance of regular tooth brushing, flossing, and dental visits.
• Injury prevention: discussed safety/seat belts, safety helmets, smoke detectors, carbon dioxide detectors, and smoking near bedding or upholstery.
• Sexual health: discussed sexually transmitted diseases, partner selection, use of condoms, avoidance of unintended pregnancy, and contraceptive alternatives.
• Exercise: the importance of regular exercise/physical activity was discussed. Recommend exercise 3-5 times per week for at least 30 minutes.

• History of Present Illness
• Adult Annual Physical:
• Patient presents for annual physical. Demetrius is a 43 y.o. male with no significant PMH who presents as a new patient to establish care. Has not seen a family provider in over 3 years.
• Lives with girlfriend. Kids live in philly. Works at tach at 17 Street Hospital. Enjoys his work. Eats very unhealthy, burgers and fries regularly. Does dumbbell weight training at home 4 to 5 days a week. Has gained about 20 pounds from his baseline in the past few years. No smoking or alcohol use. No other drug use.
• Olivia PA-Student present for history and physical for observation only.
• .
• Diet and Physical Activity:
• - Diet/Nutrition: poor diet.
• - Exercise: strength training exercises. dumbells 4-5x week at home gym
• Depression Screening:
• - PHQ-2 Score: 0
• - PHQ-9 Score: 1
• General Health:
• - Sleep: sleeps well.
• - Hearing: normal hearing bilateral ears.
• - Vision: wears glasses and most recent eye exam < 1 year ago.
• - Dental: no dental visits for > 1 year.
• GU Health:
• - History of STDs: no.
• - Urinary symptoms: none.
• Advanced Care Planning:
• - Has an advanced directive?: no
• - Has a durable medical POA?: no
• - ACP document given to patient?: no
• Review of Systems
• Constitutional: Negative for chills and fever.
• HEENT: Negative for ear pain and sore throat.
• Eyes: Negative for pain and visual disturbance.
• Respiratory: Negative for cough and shortness of breath.
• Cardiovascular: Negative for chest pain and palpitations.
• Gastrointestinal: Negative for abdominal pain and vomiting.
• Genitourinary: Negative for dysuria and hematuria.
• Musculoskeletal: Negative for arthralgias and back pain (resolved).
• Skin: Negative for color change and rash.
• Neurological: Negative for seizures, syncope, weakness, numbness and headaches.
• All other systems reviewed and are negative.

• Objective
• BP 124/80 (BP Location: Left arm, Patient Position: Sitting, Cuff Size: Standard) | Pulse 85 | Temp (!) 97.4 F (36.3 C) (Tympanic) | Resp 16 | Ht 5' 10" (1.778 m) | Wt 87.3 kg (192 lb 6.4 oz) | Sp02 98% | BMI 27.61 kg/m²
• Physical Exam
• Vitals and nursing note reviewed.
• Constitutional:
• General: He is not in acute distress.
• Appearance: He is well-developed.
• HEENT:
• Head: Normocephalic and atraumatic.
• Right Ear: Tympanic membrane, ear canal and external ear normal.
• Left Ear: Tympanic membrane, ear canal and external ear normal.
• Mouth/Throat:
• Mouth: Mucous membranes are moist.
• Eyes:
• Extraocular Movements: Extraocular movements intact.
• Conjunctiva/sclera: Conjunctivae normal.
• Pupils: Pupils are equal, round, and reactive to light.
• Cardiovascular:
• Rate and Rhythm: Normal rate and regular rhythm.
• Heart sounds: No murmur heard.
• Pulmonary:
• Effort: Pulmonary effort is normal. No respiratory distress.
• Breath sounds: Normal breath sounds.
• Abdominal:
• Palpations: Abdomen is soft.
• Tenderness: There is no abdominal tenderness.
• Musculoskeletal:
• General: No swelling.
• Cervical back: Neck supple.
• Skin:
• General: Skin is warm and dry.
• Capillary Refill: Capillary refill takes less than 2 seconds.
• Neurological:
• Mental Status: He is alert.
• Psychiatric:
• Mood and Affect: Mood normal.

• Answers submitted by the patient for this visit:
• Back Pain Questionnaire (Submitted on 9/12/2024)
• Chief Complaint: Back pain
• Chronicity: recurrent
• Onset: more than 1 year ago
• Frequency: intermittently
• Progression since onset: unchanged
• Pain location: lumbar spine
• Pain quality: aching, cramping
• Radiates to: does not radiate
• Pain - numeric: 6/10
• Pain is: the same all the time
• Aggravated by: bending, position, lying down
• Stiffness is present: all day
• Bladder incontinence: No
• Bowel incontinence: No
• Leg pain: No
• Perianal numbness: No
• Paresis: No
• Pelvic pain: No
• Paresthesias: No
• Tingling: Yes
• Weight loss: No

• Electronically signed by Tiffany Tran, PA-C at 09/13/2024 12:53 PM EDT
• Plan of Treatment- documented as of this encounter
• Plan of Treatment - Upcoming Encounters
• Upcoming Encounters
• Date Type Department Care Team (Latest Contact Info) Description
• 09/19/2025 11:00 AM EDT Office Visit
• Chew Street Primary Care St. Luke's Sacred Heart
• 451 Chew Street, Suite 400
• ALLENTOWN, PA 18102-3434
• 484-822-5970
• Tiffany Tran, PA-C
• 451 Chew Street
• Suite 400
• ALLENTOWN, PA 18102-3472
• 484-822-5970 (Work)
• 833-691-7855 (Fax)

• Plan of Treatment - Scheduled Orders
• Scheduled Orders
• Name Type Priority Associated Diagnoses Order Schedule
• Comprehensive Metabolic Panel Lab Routine
• Screening for cardiovascular condition
• 1. Occurrences starting 09/13/2024 until 09/13/2025
• CBC WITH DIFFERENTIAL Lab Routine
• Expected: 09/13/2024, Expires: 09/13/2025
• HEMOGLOBIN A1C Lab Routine
• Prediabetes
• LIPID PANEL WITH DIRECT LDL REFLEXLab Routine
• Mixed hyperlipidemia

• Results- documented in this encounter
• Not on file
• Visit Diagnoses- documented in this encounter
• Visit Diagnoses
• Diagnosis
• Encounter to establish care - Primary
• Annual physical exam
• Prediabetes
• Mixed hyperlipidemia
• Overweight (BMI 25.0-29.9)
• Need for influenza vaccination
• Screening for cardiovascular condition

• Care Teams- documented as of this encounter
• Care Teams
• Team Member Relationship Specialty Start Date End Date
• Tiffany Tran, PA-C
• NPI: 1245810670
• 451 Chew Street
• Suite 400
• ALLENTOWN, PA 18102-3472
• 484-822-5970 (Work)
• 833-691-7855 (Fax)
• PCP - General Family Medicine 9/13/24
• Patient Contacts

• Patient Contacts
• Contact Name Contact Address Communication Relationship to Patient
• Irene Martin Philadelphia, PA 267-296-5658 (Mobile) Mother, Emergency Contact
• Demea Martin Philadelphia, PA 267-385-4279 (Mobile) Daughter, Emergency Contact
• Paris Anderson 607 ALPINE CIRCLE EMMAUS, PA 18049 484-764-9993 (Home) Spouse, Personal Relationship

• Document Information
• Primary Care Provider Other Service Providers Document Coverage Dates
• Tiffany Tran, PA-C (Sep. 13, 2024September 13, 2024 - Present)
• NPI: 1245810670
• 484-822-5970 (Work)
• 833-691-7855 (Fax)
• 451 Chew Street
• Suite 400
• ALLENTOWN, PA 18102-3472
• Family Medicine
• St. Lukes University Health Network
• 484-526-5024 (Work)
• 801 Ostrum Street
• Bethlehem, PA 18015
• Sep. 13, 2024September 13, 2024

• Custodian Organization
• St. Lukes University Health Network
• 484-526-5024 (Work)
• 801 Ostrum Street
• Bethlehem, PA 18015

• Encounter Providers Encounter Date
• Tiffany Tran, PA-C (Attending)
• NPI: 1245810670
• 484-822-5970 (Work)
• 833-691-7855 (Fax)
• 451 Chew Street
• Suite 400
• ALLENTOWN, PA 18102-3472
• Family Medicine
• Sep. 13, 2024September 13, 2024