,IMPRESSION AND PLAN:,  The patient is a delightful 60-year-old chemist from Ukraine who has had episodes of headaches with nausea, photophobia, and dizziness since her 20s. 
,IMPRESSION AND PLAN : , The patient is a delightful 60 - year - old chemist from Ukraine who has had episodes of headaches with nausea , photophobia , and dizziness since her 20s .