## Zachary Vance - Patient Information
-Aged 32, born 1988
-Height 71 inches
-Weight 166 pounds (73.6kg)
+Stats
+- Aged 32, born 1988
+- Height 71 inches
+- Weight 166 pounds (73.6kg)
Known health issues:
- Repeated ankle sprains and injuries in both ankles
- (self-diagnosed) general inflammation
###Common Questions
-- **Current medications**: Atorvastatin, 40mg daily
+- **Current medications**: Atorvastatin 40mg daily
- **Current supplicants**: 100mg magnesium daily, daily multivitamin, occasional B-2 supplement, occasional vit D/vit C supplement.
- **Past supplements**: 0.5tsp piracetam daily, 1tsp choline bitartrate daily, 200mg magnesium daily
-- **Medical Allergies**: No known medical allergies, although nitrous oxide has nearly no effect
+- **Medical Allergies**: No known medical allergies, although nitrous oxide has no effect
- **Standard Allergies**: Mold, Dust mites, Sesame
- **Vaccines**: First COVID-19 (Pfizer, 2021-04-16), typhoid (2014), japanese encephalitis (x2, 2014), rabies (x3, 2014), tdap (2014), DTaP(x5, 88-94), Hib (90), IPV OVP (x4, 88-90), MMR (x290-00), TD (03), no varicella (had disease), Hep B (x3, 98-99), Hep A (x2, 98-99), PPD (94)
###Family history
-Sister - Ovarian issue (cyst?)
-Sister/Brother - alive, no major health issues
-Mother - Healthy
- Mother's mother - alive, some heart arhythmia, unknown add'l problems
- Mother's father - alive, quadruple bypass
-Father - Pretty healthy. Parkinsons, overweight.
- Generally father's side of the family are smokers and overweight. Lung cancer, heart problems, diabetes common but I don't know who's related by blood.
- Father's father - dead at young age (30-40) from medical problem, don't know what
- Father's mother - dead, lung cancer (smoker)
+- Sister - Ovarian issue (cyst?)
+- Sister/Brother - alive, no major health issues
+- Mother - Healthy
+ - Mother's mother - alive, some heart arhythmia, unknown add'l problems
+ - Mother's father - alive, quadruple bypass
+- Father - Pretty healthy. Parkinsons, overweight.
+ - Generally father's side of the family are smokers and overweight. Lung cancer, heart problems, diabetes common but I don't know who's related by blood.
+ - Father's father - dead at young age (30-40) from medical problem, don't know what
+ - Father's mother - dead, lung cancer (smoker)
## Zachary Vance - Medical History
All tests, labs etc should be attached.
- **Childhood**: Standard vaccines. Grew up in military bases abroad so somewhat more vaccines than usual, unsure which.
-- **2002-2004: Ankle surgeries on both ankles to correct pronation. Screws inserted in both
+- **2002-2004**: Ankle surgeries on both ankles to correct pronation. Screws inserted in both
- **?**: Tonsils removed
- **?**: Dental surgeries to remove baby teeth
- **?**: Dental surgery to remove wisdom teeth
- heart rate 100bpm
- blood pressure 130/70
- **2014**: Adult vaccinations due to Vietnam trip. Typhoid, Japanese Encephalitis, Rabies, Tdap
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+- Skip
- **2018-10-17**: Got in a fight, eye injury. Glasses lens popped out of frame and hit eye.
- **(2018)**: Treatment for eye injury (trauma). Dignosis of glaucoma, emergency surgery. Recovered fine, still seeing optometrist twice a year. Developing cataract in one eye.
- **2019-03-29**: Began physical therapy for ankle issues (repeated sprains)
- **2020**: Self-diagnosed chronic (whole-body) inflammation. Went away when I fixed my ankle problems in early 2021.
- **2020-12-21**: Very bad ankle sprain. Couldn't sleep much or even sit up for a week.
- **2021-?**: Fixed ankle problems after resuming physical therapy on my own.
----
- **2021-03-24**: Current symptoms begin (see "symptoms" and "recent timeline")
- **2021-04-05**: Telemedicine (phone) appointment with Dr. Rahoul Ahuja.
- **2021-04-16**: Highland Hospital cardiac tests. EKG. Echocardiogram TTE. (attached)