CONTACTS
SUBJECTS
Default Null Subject Account for Blank Record
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 8 0000.
040502 -
040503 -
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040505 -
040507 - ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Talked to Lizette verified identification.
040902 -
040903 - She has current medical records.
040905 - ..
040906 - QTC - Lizette
040907 -
040908 - 800 682 9701 ext 61195
040909 -
040910 -
040912 - ..
040913 - General exam and xrays
040914 -
040915 - 220418 1230
040916 -
040917 - Medevals of Calif
040918 - 2280 Diamond Boulevard Suite 520
040919 - Concord, CA
040920 - 925 682 1951
040921 -
040922 -
040929 - ..
040930 - Met initially with an assistant, also named Lizette.
040932 - ..
040933 - She asked about patient history listed in the record on 200101 0701.
040934 - ref SDS 3 5B6H
040936 - ..
040937 - Blood pressure: 162 90 67
040939 - ..
040940 - Liz measured the CABG scar on the chest.
040942 - ..
040943 - Liz did an EKG.
040944 -
040945 -
040947 - ..
040948 - Met with Doctor Tracy Eidson, FNP, who did examination.
040949 -
040950 - The doctor noted swelling of left ankle.
040952 - ..
040953 - She asked about continuing chest pain?
040955 - ..
040956 - Chest pain occurred in December 2019. Was treated for PAF, which
040957 - caused ARDS. This was treated initially with metoprolol. An IVUS
040958 - angiogram was performed and identified blocked arteries. Stent was
040959 - placed on 200128 0730. ref SDS 4 MZ5J This reduced chest pain.
040961 - ..
040962 - During 2020, Doctor Pellegrini performed 3 ablations to resolve AF
040963 - symptoms.
040965 - ..
040966 - On 211115, 4th ablation was performed. Since then 5 or so episodes
040967 - of AFL have recurred, most recently on 220402.
040969 - ..
040970 - There is continuing periodic pain in abdomen diagnosed as ischemic
040971 - colitis due to vasodilation that draws blood from intestine, which is
040972 - not being replaced by the heart, reported while being treated in
040973 - hospital on 200612 0700. ref SDS 5 2U4O
040975 - ..
040976 - Doctor Eidson asked about elevated blood pressure reported today: 162 90 67
040978 - ..
040979 - BP has trended higher in recent months, after Doctor Grunfeld ended
040980 - statin treatments due to rising side effects, reported on 220127 1100.
040981 - ref SDS 7 TQ3O
040983 - ..
040984 - Side effects from statins treating CVD include peripheral neuropathy
040985 - in feet, myopathy left shoulder and left side neck. These have
040986 - lessened since ending statins on 220116.
040988 - ..
040989 - LDL 268 increased 170 points in lab last week on 220415 1853,
040990 - ref SDS 9 VF7L, after ending Atorvastatin on 220116, reported in case
040991 - study on 220101 0635. ref SDS 6 5Y5H
040993 - ..
040994 - Doctor Eidson asked about energy.
040996 - ..
040997 - Energy improved after heart surgery on 091022. At that time had HDL
040998 - 30. In 2002, Was hiking with Millie to maintain her blood counts
040999 - needed to get cancer treatments. Gradually increased distance from 1
041000 - - 2 miles up to 3 - 6 miles 3 - 5 days a week, over several years.
041001 - This enabled Millie to survive stage 4 cancer for nearly 10 years. By
041002 - 2009, HDL was only 30, causing severe CVD. EKG during treadmill test
041003 - in September 2009, lit up 11 nodes. After CABG x4 surgery in October,
041004 - research found hiking increases HDL. Millie died the following year
041005 - in 2010. Gradually increased hiking to 11 miles per day. In 2014,
041006 - HDL increased > 60. Eventually, hiking increased to 15 miles per day
041007 - which yielded HDL 83 on 181112. ref SDS 2 U45J
041009 - ..
041010 - In 2019, HDL declined as hiking declined due to fatigue. Atrial
041011 - fibrillation and chest pain further curtailed hiking in December 2019.
041013 - ..
041014 - For past 3 years, HDL has ranged up and down between 50 - 60, while
041015 - trying to maintain hiking.
041017 - ..
041018 - Energy increased at the end of 2020, after 3 ablations, and into 2021.
041019 - Nearing end of 2021, energy declined with rising AF. Energy increased
041020 - again after 4th ablation on 21115, and into this year 2022.
041022 - ..
041023 - In recent weeks energy declined again.
041025 - ..
041026 - Atrial fibrillation increased last month with 3 episodes at the end of
041027 - March. Currently coordinating next steps with Doctor Pellegrini in
041028 - Cardiology.
041030 - ..
041031 - Doctor Eidson said a chest xray is needed, but the technician is not
041032 - working today. She scheduled xray procedure on...
041033 -
041034 - 220421 0900
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