CONTACTS
SUBJECTS
Default Null Subject Account for Blank Record
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 34 0000. ref SDS 33 0000.
040502 -
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040508 -
040510 - ..
0406 -
0407 -
0408 - Background
0409 -
040901 - On 210607 1428 letter to Doctor Pellegrini references understandings
040902 - from the meeting today, on possible electrical nodes in right atrial
040903 - causing AFL episodes. ref SDS 21 5640
040905 - ..
040906 - On 210607 1428 letter to Doctor Pellegrini lists recurrent AFL
040907 - episodes in right atrial since last ablation on 201210. ref SDS 21
040908 - RF8H
040910 - ..
040911 - On 210824 0845 changed meeting scheduled to meet with Doctor
040912 - Pellegrini on 210825, to 210922 0930, because Kathy had meeting with
040913 - Doctor Hui in sacramento on 210825 1000. ref SDS 25 5M5I This
040914 - followed up letter to Doctor Pellegrini on 210629 1036. ref SDS 23
040915 - TV5L
040917 - ..
040918 - On 210921 0326 letter to Doctor Pellegrini sets agenda for meeting
040919 - today. ref SDS 26 TV5L
040921 - ..
040922 - On 210930 0646 letter to Doctor Pellegrini on results meeting at
040923 - VAMCSF in Cardiology on 210922 0930, ref SDS 28 W44O; ask about letter
040924 - saying another meeting in Cardiology on 210930, ref SDS 28 J463,
040925 - report dates of 5 AFL episodes. ref SDS 28 J534 Review variances in
040926 - blood pressure. ref SDS 28 J53O
040928 - ..
040929 - On 210930 1846 letter to Doctor Pellegrini in Cardiology reports
040930 - another AFL episode. ref SDS 29 BT5N Requests timeline for next
040931 - ablation. ref SDS 29 VU49
040933 - ..
040934 - On 211006 1100, while meeting with Doctor Pellegrini, she made
040935 - referral to Doctor Monto to follow up on ischemic colotis episodes.
040936 - ref SDS 32 6M9I
040937 -
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040941 - ..
0410 -
0411 -
0412 - Progress
0413 -
041301 - After meeting at VAMCSF with Doctor Tang and Nina in Podiatry, went to
041302 - Lab on 2nd floor.
041304 - ..
041305 - Blood draw today, follows up prior lab at Labcorp on 220106 1628,
041306 - ref SDS 36 FH4J, and after hiking 200 miles the past 2 weeks.
041308 - ..
041309 - VA blood draw today, used multiple vials, so assume complete lab,
041310 - including CBC, electrolytes and lipids.
041312 - ..
041313 - VA online Pharmacy...
041314 -
041315 - https://www.myhealth.va.gov/mhv-portal-web/home
041316 -
041322 -
041324 - ..
041325 - Results stored in...
041326 -
041327 - F:\05\00003\SM\CC\AGMJ\20220110-100900\mhv_WELCH_20220127_0130.txt
041329 - ..
041330 - For some reason seperate results were reported same date and time for
041331 - lipid panels ordered by Doctor Grunfeld and by Pellegrini...
041333 - ..
041334 - xxxxx ..same day..xxxxx xxxxx xxxx xxxx xxx
041335 - Dates...................... 220110 1009 220110 1009 220106 1653 220103 1552 211215 1610 211202 1918 211113 1613 211112 1825 211111 1752 211110 1825 211006 210630 0808
041336 - Laboratory................. VAMCSF - Grnfld VAMCSF - Plgrni Labcorp Quest Quest Labcorp Labcorp VA Martinez Labcorp Labcorp VAMCSF VAMCSF
041337 - LDL P...................... NA NA NA NA NA NA NA NA NA NA NA NA
041338 - LDL C...................... 92 97 124 92 113 137 123 133 H 123 133 H 118 105
041339 - HDL........................ 58 56 54 54 60 56 55 59 55 59 57 55
041340 - Triglicerides.............. 147 147 77 63 79 89 86 93 86 93 111 97
041341 - Cholesterol Total.......... 180 182 192 161 191 209 194 209 H 194 209 H 198 180
041342 - HDL-P (Total).............. NA NA NA NA NA NA NA NA NA NA NA NA
041343 - Small LDL-P................ NA NA NA NA NA NA NA NA NA NA NA NA
041344 - LDL Size................... NA NA NA NA NA NA NA NA NA NA NA NA
041345 - VLDL....................... NA 14 14 13 16 16 16 17 16 17 15
041347 - ..
041348 - LP-IR Score................ NA NA NA NA NA NA NA NA NA NA NA NA
041350 - ..
041351 - Chol/HDL ratio............. 3.1 3.3 3.6 3.0 3.2 3.7 3.5 3.5 3.5 3.5 3.5 3.3
041352 - Non-HDL Cholesterol........ 107
041354 - ..
041355 - LDL 92 today, shows some improvement compared recent labs, and to LDL
041356 - 105 found in prior lab at VAMCSF on 210630 0815. ref SDS 24 Y14O,
041357 - which was discussed with Doctor Grunfeld during meeting on
041359 - ..
041360 - HDL is still lingering below 60.
041361 -
041362 - [On 220116 paused Gabapentin shown in case study on 220101
041363 - 0635, ref SDS 35 5Y5H, because prior research indicated it may
041364 - suppress HDL for some patients. Also added avocado to eat
041365 - during long hikes, so liver has resource to maintain
041366 - production of HDL.
041367 -
041369 - ..
041370 - Inflammation Tests...
041371 -
041372 - Lab Test: Sedimentation Rate
041373 - Lab Type: Chemistry/Hematology
041374 - Ordering Provider: GRUNFELD, CARL
041375 - Ordering Location: SAN FRANCISCO VAMC
041376 - Specimen: Blood (substance)
041377 - Date/Time Collected: 10 Jan 2022 @ 1009
041378 - Collected Location: SAN FRANCISCO VAMC
041380 - ..
041381 - Westergren Sed Rate.......... 7 mm/hr 0 - 20
041382 -
041384 - ..
041385 - Test today, after hiking 200 miles the past 2 weeks, indicates
041386 - significant improvement since prior test reported SR = 16, after
041387 - hiking 13 miles at VAMCSF on 211006 0745. ref SDS 31 HC4M
041388 -
041389 -
041391 - ..
041392 - Lab Test: C Reactive Protein HS
041393 - Lab Type: Chemistry/Hematology
041394 - Ordering Provider: GRUNFELD, CARL
041395 - Ordering Location: SAN FRANCISCO VAMC
041396 - Specimen: Plasma (substance)
041397 - Date/Time Collected: 10 Jan 2022 @ 1009
041398 - Collected Location: SAN FRANCISCO VAMC
041400 - ..
041401 - C Reactive Protein HS
041402 - CRP-HS....................... 3.0 0.2 - 7.5
041403 -
041404 - Interpretation: Inflammation reference range: 0.2 - 7.5
041405 - mg/L For assessment of risk for cardiovascular disease in
041406 - adults, the CDC and AHA recommend the following guidelines
041407 - based on two test results, two weeks apart in metabolically
041408 - stable patients: Cardiovascular Disease Risk CRP-HS mg/L
041410 - ..
041411 - Low......................<1.0
041412 - Average......................1.0-3.0
041413 - High.......................>3.0 - 10.0
041414 - Indeterminate...................>10
041415 - If CRP-HS level is >10 mg/L, the patient should be
041416 - evaluated for possible sources of infection or
041417 - inflammation. Repeat CRP-HS may also be appropriate.
041418 - Performing Location: SAN FRANCISCO VAMC 4150 CLEMENT
041419 - STREET , SAN FRANCISCO, CA
041420 - 94121-1545
041421 - Status: Final
041422 -
041424 - ..
041425 - Test today, indicates significant improvment since prior test reported
041426 - CRP-HS = 6.3, after hiking 13 miles at VAMCSF on 211006 0745.
041427 - ref SDS 31 QC3N
041429 - ..
041430 - Lab tests today, seem to confirm hiking causes inflammation that
041431 - lowers HDL, discussed in the letter on 210607 1649. ref SDS 22 0B74
041433 - ..
041434 - Lower inflammation correlates to improved shoes and orthotics from
041435 - Hoka and Mark Wachter at On-The-Run, and consistent care by Doctor
041436 - Tang in Podiatry, all enabling recovery from feet injuries.
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