From: Zachary Vance Date: Tue, 8 Mar 2022 00:54:11 +0000 (-0500) Subject: Doctor report 3 X-Git-Url: https://git.za3k.com/?a=commitdiff_plain;h=b9efb3e987b4af72febbe2653a07d4db6ccec7dc;p=za3k.git Doctor report 3 --- diff --git a/archive/doctor_report3.md b/archive/doctor_report3.md new file mode 100644 index 0000000..4d947b9 --- /dev/null +++ b/archive/doctor_report3.md @@ -0,0 +1,92 @@ +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.