-See https://za3k.com/archive/doctor_report2 for a digital copy of this document
-
-## Zachary Vance - Patient Information
-### Stats
-- Aged 32, born 1988
-- Height 71? inches
-- Weight 166 pounds (73.6kg)
-
-### Ongoing health issues:
-- 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 guesswork, not verified.
-- 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**: 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 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)
-- **Past surgeries**:
- - Two ankle surgeries to correct pronation. Titanium screws inserted.
- - Tonsils removed
- - Eye surgery to relieve pressure
-
-###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)
-
-## 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**: 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)
-- **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)
-
+See https://za3k.com/archive/doctor_episodes for a digital copy of this document
## Zachary Vance - Symptom Timeline
### Non-recent, heart-related
- Developing cataract in right eye (from eye trauma)
- Hemorrhoids (usually internal, external very rare). internal is doctor's guess
- High cholesterol
+- Seasonal depression
### Past corrected issues:
- Pronating ankles
- (probably fixed) Repeated ankle sprains and injuries in both ankles
###Common Questions
-- **Current medications**: Atorvastatin 40mg daily
+- **Current medications**: Atorvastatin 40mg daily, Lexapro
- **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
- 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.
+- Father - alive, pretty healthy. Parkinsons, overweight, some heart issues.
- 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)
- **2022-03-15**: Hep C negative (attached)
- **2022-03-15**: Comprehensive metabolic - electrolytes fairly normal (attached)
- **2022-03-15**: Lipids (attached) - cholesterol high. Doctor recommends lifestyle changes by phone.
-- **2022-04-19**: Mercy doctor visit with Dr. Hernandez, followup. Anxiety and depression improved. Referral to gastro, podiatrist. Doctor re-prescribed atorvastatin 40mg daily based on lipid blood test.
+- **2022-04-19**: Mercy doctor visit with Dr. Hernandez, followup. Anxiety and depression improved. Diagnosis of major depressive episode. Referral to gastro, podiatrist. Doctor re-prescribed atorvastatin 40mg daily based on lipid blood test.
blood pressure 128/82
pulse 93
- **2022-05-24**: Appointment with Dr. Vickers, orthopedic surgeon. X-rays show on of my ankle implants has worked its way out.
- **2022-06-09**: Pre-op appointment with Dr. Jones (new GP).
- **2022-06-22**: Surgery by Dr. Vickers at Mercy Health Ambulatory Surgery center in Anderson, Ohio. IV anesthetic (unknown). Surgery on right ankle to remove sinus tarsi implant.
+- **2022-10-07**: Appointment with Dr. Rebecca Jones (GP) at Anderson Family Health. Prescribed Lexapro (escitalopram) for seasonal depression. Blood test performed for lipids, chickenpox antibodies.
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