SYNTHETIC RECORD - Example Copper Creek Rheumatology - Follow-up Visit - 2026-07-05
Patient reference SYN-2210. This 61-year-old woman has a longstanding diagnosis of seropositive rheumatoid arthritis, made by this practice in 2021 after persistently elevated rheumatoid factor and characteristic small-joint swelling. She remains under active management for ongoing wrist and hand involvement.
She recalls having taken methotrexate at some point in the past and stopping it because it made her nauseated, but she cannot say when she started or how long she took it, and no prior chart from that period is available to this office. Today's exam shows mild synovitis at the wrists. She is otherwise healthy and works part time at a garden center. Immunara is being discussed as a possible next step once her full treatment history can be confirmed.