Doctor report 3

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+See https://za3k.com/archive/doctor_report3 for a digital copy of this document
+
+## Zachary Vance - Patient Information
+### Stats
+- Aged 33, born 1988
+- Height 71? inches
+- Weight 166 pounds (73.6kg)
+
+### Ongoing health issues:
+- Unknown health issue, might involve anxiety or blood circulation?
+- Repeated ankle sprains and injuries in both ankles
+- Developing cataract in right eye (from eye trauma)
+- Hemorrhoids (usually internal, external very rare). internal is doctor's guess
+- High cholesterol
+
+### Past corrected issues:
+- Pronating ankles
+- Eye trauma
+- (self-diagnosed) general inflammation, was due to ankles
+
+###Common Questions
+- **Current medications**: Atorvastatin 40mg daily
+- **Current supplicants**: Daily multivitamin, occasional vit D/vit C supplement.
+- **Past supplements**: 0.5tsp piracetam daily, 1tsp choline bitartrate daily, 100-200mg magnesium daily
+- **Medical Allergies**: No known medical allergies. Nitrous oxide has no effect
+- **Standard Allergies**: Mold, Dust mites, Sesame
+- **Vaccines**: 3x COVID-19 (Pfizer, 2021-2021), 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)
+- **Past surgeries**:
+    - Two ankle surgeries to correct pronation. Titanium screws inserted.
+    - Tonsils removed
+    - Eye surgery to relieve pressure
+
+###Family history
+- Mother - alive, healthy
+    - Mother's mother - alive, some heart arhythmia, unknown add'l problems
+    - Mother's father - alive, quadruple bypass
+- Father - alive, 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 - alive, ovarian issue (cyst?), bipolar
+- Sister/Brother - alive, no major health issues
+
+## 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. Titanium screws inserted in both. Dr Rodney Roof for followup and records (original surgeon is dead)
+- **?**: Tonsils removed
+- **?**: Dental surgeries to remove baby teeth
+- **?**: Dental surgery to remove wisdom teeth
+- **2007-01-10**: Blood donation
+    - heart rate 100bpm
+    - blood pressure 130/70
+- **2014**: Adult vaccinations due to Vietnam trip. Typhoid, Japanese Encephalitis, Rabies, Tdap
+- 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)
+- **2019-04-15**: End physical therapy for ankle.
+- **2019-05-07**: OneMedical Doctor appt.
+    blood pressure 122/88
+    heart rate 92
+- **2019-05-14**: OneMedical Doctor appt. Topics were heart palpitations, longstanding finger injury.
+    height 71 inches
+    blood pressure 126/88
+    heart rate 83 bpm
+    weight 183 lb
+- **2019-05-19**: CBC w/differential/platelet; metabolic panel; lipid panel, hemoblogin A1c (all attached)
+- **2019-05-19**: ? hospital. Finger x-ray
+    Finger x-ray showed no fracture
+- **2019-06-18**: Allergy panel (environmental)
+- **2019-06-24**: Allergy panel (food)
+- **2020-12-10**: First heart racing
+- **2020-12-09**: Began new exercise program. Previous had started laying down 20-22 hours a day during quarantine. Instead started sitting all day, using standing desk at least an hour a day, eating more veggies, etc. Still going as of 2021-04
+- **2020-12-12**: Confirmed heart is racing for no reason (90-130bpm, for half hour to hour), feeling of it being exhausted outside those periods. Some B-2 and riboflavin supplimentation. Symptoms disappeared a few weeks after this.
+- **2020-02-05**: OneMedical Doctor appt. Subject was chest pain a few days earlier. Diagnosis was not a heart or lung abnormality (best guess was muscular). Prescribed 40mg atorvostatin daily due to two past blood tests, years apart, showing high cholesterol.
+    EKG normal
+    blood pressure 118/78
+    resp rate 14 bpm
+    heart rate 112 bpm
+- **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**: Panic attack. ~1 month period of lightheadedness and fast heart rate starts. Poor sleep.
+- **2021-04-05**: Telemedicine (phone) appointment with Dr. Rahoul Ahuja.
+- **2021-04-16**: Highland Hospital cardiac tests. EKG. Echocardiogram TTE. (attached)
+- **2021-04-16**: Highland Hospital blood tests. CBC w/auto differential; comprehensive metabolic panel; lipid panel; hemoglobin a1c; tsh w/reflex to ft4 if abnormal (attached)
+- **2021-04-16**: Highland Hospital, first COVID-19 vaccine (Pfizer)
+- **2021-05-07**: Highland Hospital, second COVID-19 vaccine (Pfizer)
+- **2021-12-13**: Walgreens, third COVID-19 vaccine (Pfizer)
+- **2021-12-20**: ~1 month priod of lightheadedness and circulation issues. No heart issues or panic attacks.