Care Plan Gallery
Patient Portal · 12 Diagnosis Care Plan ScenariosEvery patient walks out with a plan. Below are twelve mockups covering acute infections, chronic combos, referral prep, lab orders, and the all-clear. Click a scenario to see the printable care plan. The H. pylori detailed mockup has the full production notes and technical specs.
Maria, this is your recovery plan
May 21, 2026 · Greenfield Family Medicine
Greenfield Family Medicine
Dr. Sarah Mitchell, MD
Strep Throat — Group A Streptococcus
👋
Don’t worry, Maria. Strep throat is one of the most common infections on the planet — about 11 million Americans get it every year. It’s bacterial, which means antibiotics knock it out fast. You’ll start feeling better in 24–48 hours.
💊 Your Prescription — Already Called In
Amoxicillin 500 mg
Take 1 capsule 3 times daily for 10 days — don’t stop early even if you feel great
📂 Walgreens #4521
1420 Greenfield Ave, Milwaukee, WI 53203 · (414) 555-0187
1420 Greenfield Ave, Milwaukee, WI 53203 · (414) 555-0187
✅ E-prescription sent — they’ll text you at (414) 555-0234 when ready
📅 Your Day-by-Day Plan
Day 1May 21
- Start amoxicillin today — set alarms for 8 AM / 2 PM / 8 PM
- Soft, cool foods: ice chips, popsicles, yogurt, applesauce, scrambled eggs
- No hot beverages, no citrus juice, no crunchy/chippy foods (they scratch the throat)
- Take acetaminophen (Tylenol) 500 mg every 6 hours for fever/pain — avoid ibuprofen on an empty stomach
Day 2May 22
- Continue amoxicillin on schedule
- Fever should break today — throat pain noticeably less
- Add soup, pasta, mashed potatoes as tolerated
- You’re no longer contagious after 24 hours on antibiotics — OK to return to work/school
Day 3–5May 23–25
- 🎉 You should feel dramatically better by Day 3
- Resume most normal foods — just avoid very scratchy/spicy for a few more days
- Keep taking amoxicillin — stopping early lets the bacteria come back stronger
Day 6–10May 26–30
- Finish the entire 10-day course — you’re almost there
- Normal diet
- Normal activity — no restrictions
You should be back to 100% by
May 25, 2026
Day 5 — that’s just 4 days from today
💪 To Prevent Strep Coming Back
- Replace your toothbrush after Day 2 — strep bacteria live on brush bristles
- Wash your hands frequently — strep spreads through droplets and shared surfaces
- Don’t share drinks or utensils with family members while you’re contagious
📱 We'll Check In On You
We'll text you at (414) 555-0234 and email you at maria.r@email.com on Day 3 (May 24) and Day 7 (May 28). Just give us a quick ping — hit 👍 if everything's on track or 👎 if something's off. If you need help, we'll call you same-day.
👍 On track 👎 Need help
Jen, this is your recovery plan
May 21, 2026 · Greenfield Family Medicine
Greenfield Family Medicine
Dr. Sarah Mitchell, MD
Urinary Tract Infection (UTI)
👋
Jen, this is super common. About 8 million Americans see a doctor for UTIs every year, and about half of all women will have at least one in their lifetime. Antibiotics clear it up in 2–3 days. You’re going to feel so much better, fast.
💊 Your Prescription — Already Called In
Trimethoprim-Sulfamethoxazole (Bactrim DS)
Take 1 tablet twice daily for 3 days — that’s it, just 3 days
Phenazopyridine (AZO) 200 mg
Take 1 tablet 3 times daily for 2 days only — this numbs the burning, it’s not an antibiotic
📂 Walgreens #4521
1420 Greenfield Ave, Milwaukee, WI 53203 · (414) 555-0187
1420 Greenfield Ave, Milwaukee, WI 53203 · (414) 555-0187
✅ E-prescription sent — they’ll text you when ready
⚠ AZO turns your urine orange — this is normal and harmless. It can stain contacts, so remove them before taking.
📅 Your Day-by-Day Plan
Day 1May 21
- Start Bactrim DS today — 1 tablet with breakfast, 1 with dinner
- Take AZO for burning relief (max 2 days)
- Drink lots of water — aim for 8–10 glasses today. Flush it out.
- Cranberry juice (real, not cocktail) or cranberry supplements can help
- No caffeine, no alcohol, no spicy food today — all irritate the bladder
Day 2May 22
- 🎉 Burning should be much improved by today
- Continue Bactrim DS + AZO (last day of AZO)
- Keep drinking water aggressively
Day 3May 23
- Last day of Bactrim DS — finish both doses
- Symptoms should be gone or nearly gone
- Resume normal diet — keep the water habit up
You should be back to 100% by
May 23, 2026
Day 3 — that’s just 2 days from today
💪 To Prevent UTIs Coming Back
- Drink more water every day — aim for 6–8 glasses. Hydration is your #1 defense.
- Urinate after intercourse — flushes bacteria before they can settle
- Wipe front to back — always
- Don’t hold it — go when you feel the urge; stagnant urine breeds bacteria
- Cranberry daily — a small glass of real cranberry juice or a supplement capsule helps prevent recurrence
📱 We'll Check In On You
We'll text you at (414) 555-0234 and email you at jen.m@email.com on Day 2 (May 23) and Day 5 (May 26). Just give us a quick ping — hit 👍 if the burning is gone or 👎 if it's not improving. If you need help, we'll call you same-day.
👍 On track 👎 Need help
Tom, this is your recovery plan
May 21, 2026 · Greenfield Family Medicine
Greenfield Family Medicine
Dr. Sarah Mitchell, MD
Acute Sinusitis
👋
Tom, you’re in very common company. About 30 million Americans get sinusitis every year — it’s the #1 reason for antibiotic prescriptions in adults. It clears up reliably. You’ll be breathing freely again within a week.
💊 Your Prescription — Already Called In
Amoxicillin-Clavulanate (Augmentin) 875/125 mg
Take 1 tablet twice daily with food for 10 days
Fluticasone nasal spray (Flonase)
2 sprays each nostril once daily — reduces swelling so your sinuses can drain
📂 Walgreens #4521
1420 Greenfield Ave, Milwaukee, WI 53203 · (414) 555-0187
1420 Greenfield Ave, Milwaukee, WI 53203 · (414) 555-0187
✅ E-prescription sent — they’ll text you when ready
📅 Your Day-by-Day Plan
Day 1–2May 21–22
- Start Augmentin with meals (it can upset an empty stomach) and Flonase each morning
- Drink hot tea with honey — the steam and warmth help open sinuses
- Steam inhalation: bowl of hot water, towel over head, breathe deep for 10 min, 2×/day
- Saline sinus rinse (NeilMed or Neti pot) — use distilled or previously boiled water only
- Facial pain and pressure should start easing by Day 3
Day 3–5May 23–25
- 🎉 Congestion should noticeably improve by Day 4
- Continue Augmentin + Flonase + saline rinses
- Spicy foods (hot sauce, horseradish, wasabi) can actually help thin mucus — enjoy if you like
Day 6–10May 26–30
- Finish Augmentin — keep taking Flonase for 2 more weeks
- You should be breathing clearly through your nose again
- Normal activity — no restrictions
You should be back to 100% by
May 28, 2026
Day 8 — about a week from today
💪 To Prevent Sinusitis Coming Back
- Use saline rinse daily during allergy season — keeps sinuses clear
- Manage allergies — untreated allergic rhinitis is the #1 sinusitis trigger
- Stay hydrated — thin mucus drains better
- Humidify your bedroom in winter — dry air thickens mucus
📱 We'll Check In On You
We'll text you and email you on Day 5 (May 26) and Day 10 (May 31). Just give us a quick ping — hit 👍 if the pressure is easing or 👎 if you're still congested. If you need help, we'll call you same-day.
👍 On track 👎 Need help
Ray, this is your action plan
May 21, 2026 · Greenfield Family Medicine
Greenfield Family Medicine
Dr. Sarah Mitchell, MD
Pre-diabetes — HbA1c 6.2%
💪
Ray, this is a warning — not a sentence. 96 million American adults have pre-diabetes, and most of them don’t know it. You caught it early, which is the whole point. Pre-diabetes is reversible. With the right changes, your blood sugar can go back to normal. You’re in the driver’s seat.
📅 Your Week-by-Week Plan
Week 1May 21–27
- Start a 20-minute walk after dinner every night — this alone drops post-meal blood sugar by 20–30%
- Swap white bread/rice/pasta for whole-grain versions — same meal, slower sugar release
- Cut sugary drinks entirely: soda, juice, sweet tea, energy drinks. Water, black coffee, unsweetened tea only.
- No late-night snacking — close the kitchen after 8 PM
Week 2–3May 28–Jun 10
- Increase walks to 30 min — add a morning walk too if you can
- Add a vegetable to every lunch and dinner — half your plate should be veggies
- Replace one carb-heavy snack with a handful of almonds or walnuts
- Start tracking: use a free app (MyFitnessPal, Lose It) to log meals 3 days/week
Month 3Aug 2026
- 🎉 We’ll recheck your HbA1c in August — most patients see it drop 0.3–0.5% with these changes
- Aim for 5–7% body weight loss — the DPP study showed this cuts diabetes risk by 58%
Your goal: reverse this by
August 2026
3 months of consistent changes can bring your HbA1c back below 5.7%
🌱 Lifestyle Changes That Reverse Pre-diabetes
- Lose just 5–7% of body weight — for a 200 lb person, that’s 10–14 lbs. This alone can reverse pre-diabetes.
- 150 minutes of movement per week — that’s 30 min, 5 days a week. Walking counts.
- Fiber at every meal — beans, lentils, vegetables, whole grains slow sugar absorption
- Sleep 7+ hours — poor sleep drives insulin resistance
- Limit alcohol — your liver processes alcohol before sugar, so drinking spikes blood glucose
📱 We'll Check In On You
We'll text you and email you on Week 2 (Jun 4) and Week 4 (Jun 18). Just give us a quick ping — hit 👍 if the walks and diet changes are sticking or 👎 if you're struggling. We'll adjust the plan, not judge you.
👍 On track 👎 Need help 💬 Send a note
Alex, this is your support plan
May 21, 2026 · Greenfield Family Medicine
Greenfield Family Medicine
Dr. Sarah Mitchell, MD
Generalized Anxiety Disorder — Moderate (GAD-7 Score: 12)
💗
Alex, you are not alone and this is not weakness. 40 million American adults live with anxiety disorders — that’s 19% of the population. It’s the most common mental health condition in the country. It is highly treatable, and asking for help is the bravest thing you can do. We’re going to walk this together.
💊 Your Prescription — Already Called In
Sertraline (Zoloft) 50 mg
Take 1 tablet each morning with food. We’ll check in at 4 weeks and may adjust the dose.
📂 Walgreens #4521
1420 Greenfield Ave, Milwaukee, WI 53203 · (414) 555-0187
1420 Greenfield Ave, Milwaukee, WI 53203 · (414) 555-0187
✅ E-prescription sent — they’ll text you when ready
Important: Sertraline takes 2–4 weeks to fully kick in. The first week you may feel slightly more anxious or have trouble sleeping — this is normal and temporary. Don’t stop without calling us.
👭 Therapy Referral — We Set It Up for You
Lakewood Counseling Associates
2845 N Downer Ave, Milwaukee, WI 53211 · (414) 555-0321
We’ve sent a referral. Their intake coordinator will call you within 2 business days to schedule your first appointment. CBT (cognitive behavioral therapy) + medication is the gold standard — together they work better than either alone.
2845 N Downer Ave, Milwaukee, WI 53211 · (414) 555-0321
We’ve sent a referral. Their intake coordinator will call you within 2 business days to schedule your first appointment. CBT (cognitive behavioral therapy) + medication is the gold standard — together they work better than either alone.
📅 What to Expect, Week by Week
Week 1May 21–27
- Start sertraline each morning with breakfast
- Download a free meditation app (Insight Timer, Healthy Minds) — even 5 minutes of breathing helps
- Try the 4-7-8 breath: breathe in 4 sec, hold 7 sec, exhale 8 sec. Use it when anxiety spikes.
- You may feel slightly on edge the first few days — this is the medication starting, not failing
Week 2–3May 28–Jun 10
- Continue sertraline daily
- Sleep should start improving by Week 2
- Start therapy sessions (once you get the call from Lakewood)
- Walk 20+ minutes daily — exercise is as effective as medication for mild–moderate anxiety
Week 4Jun 18
- 🎉 By Week 4, most patients feel a real shift — less on edge, more like yourself
- Follow-up visit with Dr. Mitchell on Jun 18 — we’ll check how you’re doing and adjust if needed
📱 We'll Check In On You
Alex, we'll text you and email you on Week 1 (May 28) and Week 4 (Jun 18). Just give us a quick ping — hit 👍 if you're tolerating the medication or 👎 if side effects are bothering you. No question is too small. We're walking this with you.
👍 On track 👎 Need help 💬 Send a note
Frank, here’s your combined care plan
May 21, 2026 · Greenfield Family Medicine
Greenfield Family Medicine
Dr. Sarah Mitchell, MD
Three conditions, one plan HTNDM2Lipids
💪
Frank, three diagnoses at once sounds scary — but here’s the reality. 1 in 3 American adults has high blood pressure. 1 in 10 has diabetes. 1 in 3 has high cholesterol. You’re not unlucky — you’re typical. And here’s the good news: the same lifestyle changes improve all three at once. One plan, three wins. You got this.
💊 Your Prescriptions — Already Called In
HTN
Lisinopril 10 mg
Take 1 tablet each morning — lowers blood pressure by relaxing blood vessels
DM2
Metformin 500 mg
Take 1 tablet twice daily with meals — we’ll increase to 1000 mg in 2 weeks if tolerated
Lipids
Atorvastatin 20 mg
Take 1 tablet each evening — statins work better at night
📂 Walgreens #4521
1420 Greenfield Ave, Milwaukee, WI 53203 · (414) 555-0187
1420 Greenfield Ave, Milwaukee, WI 53203 · (414) 555-0187
✅ All 3 prescriptions sent — they’ll text you when ready
📅 Your Combined Day-by-Day Plan
Day 1May 21
- Morning: lisinopril + metformin with breakfast. Evening: atorvastatin after dinner + metformin with a small snack
- Start the “half-plate rule”: half your lunch and dinner plate is vegetables from now on
- Limit sodium to <2,300 mg/day — easiest shortcut: don’t add salt at the table
- No soda, no juice, no sweet tea — these spike blood sugar and triglycerides simultaneously
- Walk 15 minutes after dinner — lowers post-meal blood sugar, blood pressure, and triglycerides all at once
Week 1May 21–27
- Take all 3 medications daily — metformin may cause mild stomach upset for the first week (take with food)
- Swap white carbs for whole grains: brown rice, whole-wheat bread, oatmeal
- Add a handful of nuts (almonds, walnuts) daily — improves all 3 conditions
- Get a home BP cuff — check your BP each morning before coffee. Log it in the portal.
- Walk 20 minutes daily — you don’t need to run, just move
Week 2–4May 28–Jun 17
- Metformin increases to 1000 mg twice daily on Jun 4 (if stomach is OK with 500 mg)
- Blood pressure should start trending down by Week 2
- Red meat no more than 2×/week — swap for fish, chicken, beans, lentils
- Moderate alcohol: max 1 drink/day (men) — less is better for all three conditions
- Increase walks to 30 min — add resistance bands or light weights 2×/week
Month 3Aug 2026
- 🎉 Labs recheck in August: target BP <130/80, HbA1c <7.0, LDL <100
- With medication + lifestyle, most patients hit 2 out of 3 targets by Month 3
Consistent improvement by
August 2026
3 months of medication + lifestyle can normalize all three
🌱 One Lifestyle, Three Wins
- DASH-style eating — high in vegetables, fruits, whole grains, low-fat dairy, nuts. Proven to lower BP 8–14 points, improve cholesterol, and stabilize blood sugar.
- 150 min/week movement — walking is enough. Every minute helps all three.
- Lose 5–10 lbs — each pound lost drops BP ~1 point and improves insulin sensitivity
- Sleep 7–8 hours — poor sleep worsens all three conditions
- Less alcohol, less red meat, less sugar — the triple threat to the trifecta
📱 We'll Check In On You
Frank, we'll text you and email you on Week 2 (Jun 4) and Month 3 (Aug 21). Just give us a quick ping — hit 👍 if your BP readings are trending down and diet changes are sticking, or 👎 if you're struggling with any of the three. We'll adjust the plan, not judge you.
👍 On track 👎 Need help 💬 Send a note
Linda, you’ve got this
May 21, 2026 · Colonoscopy Prep Guide
Greenfield Family Medicine
Dr. Sarah Mitchell, MD
Screening Colonoscopy — Age 50 Routine
💪
Linda, you’re doing the smart thing. 19 million colonoscopies are performed in the U.S. every year. It’s one of the most routine procedures in medicine. The prep is the hardest part — the procedure itself is done under sedation. You won’t feel a thing, you’ll sleep through it, and you’ll wake up with real peace of mind knowing your colon is clear. No problem. You got this.
💉 About the Procedure — Dr. Park’s Team Will Guide You
Milwaukee GI Associates
5250 W Oklahoma Ave, Suite 200, Milwaukee, WI 53219
(414) 555-0470 · Pre-op nurse: available Mon–Fri 8 AM–4 PM
We’re referring you to Dr. Park for the procedure. His office will call you within 3 business days with their specific prep instructions, arrival time, and sedation details. The instructions below are the general approach — if Dr. Park’s office gives you different instructions, follow theirs. They know their equipment and their process.
5250 W Oklahoma Ave, Suite 200, Milwaukee, WI 53219
(414) 555-0470 · Pre-op nurse: available Mon–Fri 8 AM–4 PM
We’re referring you to Dr. Park for the procedure. His office will call you within 3 business days with their specific prep instructions, arrival time, and sedation details. The instructions below are the general approach — if Dr. Park’s office gives you different instructions, follow theirs. They know their equipment and their process.
📅 Prep Timeline — The Common Approach
5 days beforeMay 31
- Stop taking iron supplements, fish oil, and vitamin E
- Start a low-residue diet: white bread, white rice, eggs, lean chicken, clear broth, Jell-O
- No seeds, no nuts, no corn, no whole grains, no raw vegetables, no fruit with skins
2 days beforeJun 3
- Continue low-residue diet
- Start hydrating aggressively — 8–10 glasses of clear liquids today
- Clear liquids = water, clear broth, apple juice, white grape juice, black coffee, tea (no milk), Gatorade, Jell-O (not red or purple)
1 day beforeJun 4
- No solid food today — clear liquids only all day
- Begin prep solution (MiraLAX + Gatorade or Suprep, per Dr. Park’s instructions) at 5:00 PM
- The prep will cause frequent, watery bowel movements within 1–2 hours. This is exactly what it’s supposed to do. Stay near a bathroom. It’s not painful — just annoying.
- Drink a clear liquid between each bathroom trip to stay hydrated
- Second dose of prep at 9:00 PM (or as directed by Dr. Park)
- Apply Vaseline or A+D ointment around your anus before the prep kicks in — prevents soreness from frequent wiping
Procedure dayJun 5
- 🎉 Nothing to eat or drink after midnight (or per Dr. Park’s instructions)
- You’ll need a ride home — you cannot drive after sedation. Arrange a driver now.
- Take your regular morning medications with a tiny sip of water (especially blood pressure meds) — unless Dr. Park says otherwise
- Arrive 1 hour early. The procedure itself takes 20–30 minutes. You’ll be home by noon.
AfterJun 5 PM
- Rest for the day — the sedation makes most people groggy
- Eat a normal meal when you feel hungry — your colon is fine, it’s just been cleaned
- Dr. Park will discuss results before you leave, or call within a few days
- Some mild cramping and gas is normal for 24 hours — it’s just air they pumped in during the procedure
Next screening
10 years — or never, if you stay clear
Most people only need one colonoscopy per decade. This could be it for a long time.
🌱 Colon Health — Keep It Clear
- Eat more fiber — 25–35 g/day from vegetables, fruits, beans, whole grains
- Limit red meat to 2–3 servings per week; avoid processed meats (bacon, sausage, deli)
- Moderate alcohol — heavy drinking increases colon cancer risk
- Stay active — 30 min of daily movement reduces colon cancer risk by 25%
📱 We'll Check In On You
Linda, we'll text you and email you on June 3 (2 days before — how's the low-residue diet going?) and June 6 (day after — how are you feeling?). Just give us a quick ping — hit 👍 if the prep is going smoothly or 👎 if you're struggling. We've talked hundreds of patients through this — no question is too basic.
👍 On track 👎 Need help 💬 Send a note
Susan, here’s what happens next
May 21, 2026 · Dermatology Referral
Greenfield Family Medicine
Dr. Sarah Mitchell, MD
Atypical Mole — Biopsy Recommended
😊
Susan, finding it is the cure. About 1 in 5 Americans will develop skin cancer by age 70 — and the vast majority are highly curable when caught early, like this one. A biopsy is quick: numbing shot, tiny snip, band-aid. That’s it. Five minutes and you’ll know for sure. Most moles like this come back completely benign. No problem. You got this.
🩸 Dermatology Referral — We Sent It Today
Lakeshore Dermatology
3120 S Kinnickinnic Ave, Milwaukee, WI 53207
(414) 555-0555 · Accepts your insurance (Blue Cross PPO)
Referral sent electronically. Their scheduler will call you within 2 business days. If you don’t hear by May 27, call them directly at the number above.
What the dermatologist will do: examine the mole with a dermatoscope (a magnifying light), and likely do a shave biopsy right in the office — same visit. Results come back in 5–7 business days. We’ll call you with results and post them in your portal.
3120 S Kinnickinnic Ave, Milwaukee, WI 53207
(414) 555-0555 · Accepts your insurance (Blue Cross PPO)
Referral sent electronically. Their scheduler will call you within 2 business days. If you don’t hear by May 27, call them directly at the number above.
What the dermatologist will do: examine the mole with a dermatoscope (a magnifying light), and likely do a shave biopsy right in the office — same visit. Results come back in 5–7 business days. We’ll call you with results and post them in your portal.
📅 What to Expect
NowMay 21
- Keep the mole area clean and dry — don’t scratch or pick at it
- If it bleeds, itches, or changes color/size before your derm appointment, call us
Week 1–2May 26–Jun 6
- Dermatology appointment — in-office biopsy, ~5 minutes
- You’ll feel a quick pinch from the numbing shot, then nothing
- Keep the biopsy site covered with a band-aid for 24 hours, then wash normally
Week 3Jun 9–13
- Results come back — we call you and post in portal
- Most atypical moles come back benign or mildly abnormal — no further treatment needed
🌞 Skin Health — Keep Checking
- Monthly self-exam — look for the ABCDEs: Asymmetry, Border irregular, Color varied, Diameter >6mm, Evolving
- Sunscreen daily — SPF 30+ on exposed skin, even in winter
- Annual skin check — we’ll add this to your yearly wellness visit
📱 We'll Check In On You
Susan, we'll text you and email you on Week 2 (Jun 4 — did the dermatologist call?) and Week 3 (Jun 11 — biopsy results back?). Just give us a quick ping — hit 👍 if everything's moving along or 👎 if you haven't heard from the derm office yet (we'll nudge them for you).
👍 On track 👎 Need help 💬 Send a note
Dave, here’s why we’re sending you for blood work
May 21, 2026 · Lab Orders
Greenfield Family Medicine
Dr. Sarah Mitchell, MD
Lab Orders — CMP + Lipid Panel + HbA1c
💪
Dave, this is routine — not alarming. Your fasting glucose was 108 last time, which is just barely in the “impaired fasting glucose” range (100–125). We want to make sure it’s not creeping up, and we want to check your liver and cholesterol while we’re at it. If anything is off by a little, it’s no big deal. We’d much rather catch a small trend now than a big problem later.
🩸 What We’re Testing and Why
Comprehensive Metabolic Panel (CMP)
Checks your kidney function, liver function, electrolytes, and blood sugar. We’re watching your fasting glucose and ALT (liver enzyme) based on your last visit.
Checks your kidney function, liver function, electrolytes, and blood sugar. We’re watching your fasting glucose and ALT (liver enzyme) based on your last visit.
Lipid Panel
Total cholesterol, LDL (“bad”), HDL (“good”), triglycerides. We want to see where your LDL and triglycerides are trending.
Total cholesterol, LDL (“bad”), HDL (“good”), triglycerides. We want to see where your LDL and triglycerides are trending.
Hemoglobin A1c (HbA1c)
This is your 3-month average blood sugar. Fasting glucose is a snapshot; HbA1c is the movie. If it’s under 5.7, you’re in the clear. 5.7–6.4 is pre-diabetes. Over 6.5 is diabetes.
This is your 3-month average blood sugar. Fasting glucose is a snapshot; HbA1c is the movie. If it’s under 5.7, you’re in the clear. 5.7–6.4 is pre-diabetes. Over 6.5 is diabetes.
What if something is off?
• If fasting glucose is a little high (100–125): no big deal. We’d prefer you just moderate your alcohol intake, cut back on red meat, eat less sugar, and take a 20-minute walk after dinner. If that doesn’t bring it down in 3 months, we can discuss a low-dose medication — but lifestyle is the first choice and it works for most people.
• If ALT is slightly elevated: very common, usually from fatty liver. The fix is the same: less alcohol, less sugar, more movement. We’d rather you change your habits than start a pill — but we have options if needed.
• If LDL is high: depends on the number. A little high = diet changes first. Significantly high = we’ll discuss a statin. Either way, very treatable.
• If fasting glucose is a little high (100–125): no big deal. We’d prefer you just moderate your alcohol intake, cut back on red meat, eat less sugar, and take a 20-minute walk after dinner. If that doesn’t bring it down in 3 months, we can discuss a low-dose medication — but lifestyle is the first choice and it works for most people.
• If ALT is slightly elevated: very common, usually from fatty liver. The fix is the same: less alcohol, less sugar, more movement. We’d rather you change your habits than start a pill — but we have options if needed.
• If LDL is high: depends on the number. A little high = diet changes first. Significantly high = we’ll discuss a statin. Either way, very treatable.
Per CLIA §493 and Wisconsin Statute §252.12, laboratory test results are confidential health information protected under HIPAA (45 CFR §164.502). Your results will be released to you via the patient portal within 1 business day of completion, consistent with the 21st Century Cures Act information-blocking provisions (45 CFR §171.200). You may request a copy of your lab results at any time under 45 CFR §164.524.
📅 Getting Your Blood Drawn
BeforeMay 21 night
- Fast for 10–12 hours before your draw — water is OK, black coffee is OK (no cream/sugar)
- No alcohol tonight — it can affect liver enzymes
- Take your regular medications unless we’ve told you otherwise
Draw dayMay 22 AM
- Go to Quest Diagnostics, 2210 N Farwell Ave, Milwaukee, WI 53202. Walk-ins welcome 7–11 AM.
- The draw takes about 5 minutes. You’ll feel a brief pinch.
- Eat breakfast right after — bring a snack in the car
ResultsMay 23–26
- Results posted to your portal within 1 business day
- We’ll call you if anything needs action. If you don’t hear from us, everything is in normal range.
- Follow-up visit scheduled for Jun 4 to review everything together
📱 We'll Check In On You
Dave, we'll text you and email you on Day 3 (May 24 — did you get your blood drawn?) and Week 2 (Jun 4 — after your follow-up visit to review results). Just give us a quick ping — hit 👍 if you got the draw done or 👎 if you need help finding the lab or rescheduling.
👍 On track 👎 Need help 💬 Send a note
Mike, this is your recovery plan
May 21, 2026 · Greenfield Family Medicine
Greenfield Family Medicine
Dr. Sarah Mitchell, MD
Acute Lateral Ankle Sprain — Grade II
👋
Mike, sprained ankles are practically a sport themselves. About 25,000 Americans sprain an ankle every single day — that’s over 9 million a year. It’s the most common sports injury in the country. Grade II means a partial tear: it hurts, but it heals. You’ll be back on your feet within a few weeks.
💊 Your Prescription — Already Called In
Ibuprofen 600 mg
Take 1 tablet 3 times daily with food for 7 days — reduces swelling and pain
📂 Walgreens #4521
1420 Greenfield Ave, Milwaukee, WI 53203 · (414) 555-0187
1420 Greenfield Ave, Milwaukee, WI 53203 · (414) 555-0187
✅ E-prescription sent — they’ll text you when ready
📅 RICE Protocol — Day by Day
Day 1–3May 21–23
- Rest: stay off it as much as possible — crutches for the first 2 days if needed
- Ice: 20 minutes on, 20 minutes off — wrap ice in a towel, never directly on skin
- Compression: ACE bandage or ankle sleeve, snug but not cutting off circulation
- Elevation: prop your ankle above your heart when sitting or lying down
- Ibuprofen 600 mg 3×/day with food
Day 4–7May 24–27
- 🎉 Swelling should be visibly down by Day 4
- Start gentle range-of-motion: draw the alphabet with your big toe, 2×/day
- Begin partial weight-bearing — walk with crutches but put 50% weight on the ankle
- Continue ice 3×/day and ibuprofen
Week 2–3May 28–Jun 10
- Full weight-bearing — walk normally, no crutches
- Balance exercises: stand on the injured foot for 30 seconds, 5×/day
- Stationary bike or swimming OK — no running or cutting sports yet
- Some swelling at end of day is normal for 2–3 weeks
Week 4–6Jun 11–25
- Return to jogging, then running — ease back in
- Ankle brace for sports for the next 3 months (re-injury risk is highest in the first 12 weeks)
- Follow-up visit Jun 18 if not 90% better by then — we may refer to orthopedics for MRI
You should be back to full activity by
June 25, 2026
4–6 weeks — Grade II sprains heal reliably with RICE + rehab
📱 We'll Check In On You
Mike, we'll text you and email you on Week 1 (May 28) and Week 3 (Jun 11). Just give us a quick ping — hit 👍 if the swelling is down and you're bearing weight or 👎 if it's not improving. We may send you to orthopedics for an MRI.
👍 On track 👎 Need help 💬 Send a note
Sarah, congratulations!
May 21, 2026 · Prenatal Confirmation
Greenfield Family Medicine
Dr. Sarah Mitchell, MD
Pregnancy Confirmed — Estimated 6 weeks
💍
Sarah, this is wonderful news. About 3.6 million babies are born in the U.S. every year — you’re joining a very large, very supported club. Your body knows what to do. We’re here to make sure everything goes smoothly.
💉 OB/GYN Referral — We Sent It Today
Milwaukee Women’s Health Associates
4100 W Vliet St, Suite 300, Milwaukee, WI 53208
(414) 555-0620
Your first prenatal visit should be around 8–10 weeks (early June). Their office will call you within 2 business days to schedule. This is the “dating ultrasound” visit — they’ll confirm your due date, check the heartbeat, and get you set up with your full prenatal schedule.
4100 W Vliet St, Suite 300, Milwaukee, WI 53208
(414) 555-0620
Your first prenatal visit should be around 8–10 weeks (early June). Their office will call you within 2 business days to schedule. This is the “dating ultrasound” visit — they’ll confirm your due date, check the heartbeat, and get you set up with your full prenatal schedule.
📅 First Trimester — What to Start Now
Right nowMay 21
- Start a prenatal vitamin with at least 400 mcg folic acid — no prescription needed, any pharmacy brand works
- Eat a balanced diet — protein at every meal, plenty of vegetables and whole grains
- No alcohol, no smoking, no recreational drugs — zero, not even a little
- No raw sushi, no unpasteurized cheese, no deli meats (listeria risk)
- Limit caffeine to <200 mg/day (about 1 small coffee or 2 teas)
Weeks 6–8May 21–Jun 4
- Morning sickness may kick in — keep crackers by the bed, eat small frequent meals, ginger tea helps
- If nausea is severe, call us — we can prescribe doxylamine-pyridoxine (Diclegis), which is pregnancy-safe
- Exercise is great — walking, swimming, prenatal yoga. Avoid contact sports and heavy lifting.
- Fatigue is completely normal — your body is building a whole new organ (the placenta). Rest when you can.
Week 8–12Jun 4–Jul 2
- First OB visit: dating ultrasound, blood work, pap if due
- Your OB will start you on the prenatal visit schedule (every 4 weeks through 28 weeks)
- The risk of miscarriage drops significantly after a confirmed heartbeat at 8 weeks
📱 We'll Check In On You
Sarah, we'll text you and email you on Week 2 (Jun 4 — did the OB office call?) and Week 8 (Jul 16 — how was your first prenatal visit?). Just give us a quick ping — hit 👍 if everything's on track or 👎 if you haven't heard from the OB yet (we'll follow up for you). And if nausea hits hard, text us anytime.
👍 On track 👎 Need help 💬 Send a note
Wei, GREAT JOB!
May 21, 2026 · Annual Wellness — All Clear
Greenfield Family Medicine
Dr. Sarah Mitchell, MD
Perfectly Healthy — No Active Issues
🏆 You’re in the top 1% of adults your age
1%
of American adults 50+ have all five key health markers in the optimal range
That’s blood pressure, blood sugar, cholesterol, BMI, and resting heart rate. You hit every one. You’re taking excellent care of yourself, and your numbers show it.
🍀
Wei, you’re doing everything right. Your blood pressure is textbook-perfect. Your blood sugar is well below the pre-diabetes line. Your cholesterol is in the ideal range. Your weight is right where it should be. And your resting heart rate of 64 says your cardiovascular system is in great shape. Keep doing what you’re doing — it’s working beautifully.
📅 Keep It Going — Your Maintenance Plan
DailyOngoing
- Keep up your current exercise routine — whatever you’re doing, it’s working
- Continue your current diet: high in vegetables, whole grains, lean protein
- 7–8 hours of sleep — you already know this matters
MonthlyOngoing
- Skin self-exam: check for new or changing moles (ABCDE rule)
- Dental check: you’re due for a cleaning if you haven’t been in 6 months
YearlyMay 2027
- Next annual wellness visit: May 2027
- Repeat labs: CMP, lipid panel, HbA1c, CBC, TSH, vitamin D
- Colonoscopy: you’re due at 50 (3 years away) — we’ll remind you
🌱 The Habits That Got You Here
- Whatever you’re eating — keep eating it. Your labs prove it’s the right diet for your body.
- Whatever you’re doing for exercise — keep doing it. Your resting heart rate and BP are the receipts.
- Keep your alcohol moderate — you clearly already do
- Stay on top of screenings — healthy people who catch things early stay healthy people
- Keep your stress managed — your BP and heart rate suggest you’re handling it well
📱 We'll Remind You Next Year
Wei, we'll text and email you a reminder in April 2027 to book your next annual wellness. No need to remember — we've got you. In the meantime, if anything comes up between now and then, don't wait — just ping us.
👍 All good 💬 I have a question
Dave, thanks for coming in today
May 21, 2026 · Greenfield Family Medicine
Greenfield Family Medicine
Dr. Sarah Mitchell, MD
Visit Summary — Established-Patient Follow-up
Here’s what we accomplished today
✅
Diagnosed and treated H. pylori gastritis
That burning in your stomach has a name and a fix — 14 days of triple therapy clears it in >90% of cases
💊
E-prescribed 3 medications to your pharmacy
Already sent to Walgreens on Greenfield Ave — they’ll text you when ready, no waiting at the pharmacy counter
📅
Gave you a day-by-day recovery plan
No guessing — you know exactly what to do each day, what to eat, what to avoid, and when you’ll feel better
📞
Set up follow-up check-ins by text & email
We’ll ping you on Day 3 and Day 7 — just hit 👍 or 👎 so we know you’re on track
📊
Scheduled follow-up breath test for June 16
This confirms the bacteria is gone — one-and-done, then you never have to think about H. pylori again
Payment Summary
Office visit — Established patient, moderate complexity (99214)$185.00
Rapid strep test / H. pylori antigen test$28.00
Insurance adjustment (BCBS PPO contracted rate)−$153.00
Insurance payment (BCBS PPO)−$15.00
Your responsibility$45.00
$45.00 charged to your HSA debit card (Visa ending 4821)
Transaction ID: TXN-2026-0521-0847
Transaction ID: TXN-2026-0521-0847
Your Deductible & Out-of-Pocket Tracker
| Benefit | Family Total | Met So Far | Remaining | Progress |
|---|---|---|---|---|
| Individual deductible | $1,500 | $742 | $758 | 49% |
| Family deductible | $3,000 | $1,920 | $1,080 | 64% |
| Individual OOP max | $6,000 | $1,180 | $4,820 | 20% |
| Family OOP max | $12,000 | $2,640 | $9,360 | 22% |
Source: BCBS PPO eligibility feed as of May 21, 2026. Deductible resets Jan 1, 2027. Your $45 today counts toward both your individual and family deductible.
🎁 Your Free Preventive Visits — $0 Copay
Under the ACA, these visits cost you nothing — insurance pays 100%. Don't leave money on the table.
| Service | Your Cost | Due By | Action |
|---|---|---|---|
| Annual wellness visit | FREE | Dec 31, 2026 | Schedule now → |
| Colonoscopy (screening) | FREE | Age 50 | Referral sent today to Dr. Park |
| Flu shot (fall 2026) | FREE | Oct 2026 | We’ll remind you in September |
| Diabetic eye exam | FREE | Annual | Not applicable (you’re not diabetic) |
| Blood pressure check | FREE | Anytime | Walk in anytime — no appointment needed |
⚠ Your annual wellness visit expires Dec 31 — you haven’t used it yet this year.
You get one free wellness visit per calendar year. If you don’t use it, it’s gone. We make it easy — book online in 60 seconds and it’s covered at $0.
🔗 Schedule your free annual wellness
💰 Insurance Pays, You Benefit — Services to Consider
These are fully or mostly covered by your BCBS PPO. They help you stay healthy and cost you little to nothing. We’re not upselling — these are guideline-recommended for someone your age and history.
🩸 Comprehensive lab panel
$0 after deductible
CMP, lipid, HbA1c, CBC, TSH, Vit D — all from one draw
🩸 H. pylori breath test
$0 after deductible
Already scheduled Jun 16 — confirms the bacteria is gone
💉 Colonoscopy (screening)
FREE (preventive)
Referral sent today — Dr. Park will schedule. Peace of mind for 10 years.
💊 Tdap booster
$0 copay
Due every 10 years — yours was 2018, so you’re due 2028. We’ll remind you.
🩸 Lipid panel recheck
$0 after deductible
Your LDL was 108 last year — let’s see where it is now with the statin
📷 Dermatology skin check
$20 copay (specialist)
Annual full-body exam — catches melanoma early when it’s 99% curable
📋
Keep this for your tax records. HSA-eligible expenses should be retained for 7 years per IRS Publication 502. A permanent copy is always available at greenfieldfamilymedicine.com/patientBilling/2026-05-21-0847 — bookmark it or download the PDF anytime from your portal.
📱 We’ll Check In On You
We’ll text you at (414) 555-0234 and email you at dave.k@email.com on Day 3 (May 24) and Day 7 (May 28). Just give us a quick ping — hit 👍 if everything’s on track or 👎 if something’s off. If you need help, we’ll call you same-day.
👍 On track 👎 Need help 💬 Send a note
We look forward to seeing you next time
Go online to schedule your next visit — no phone tag, no hold music
🔗 greenfieldfamilymedicine.com/schedule
📱 We’ll send text & email reminders