From: Zachary Vance Date: Fri, 7 Oct 2022 16:39:17 +0000 (-0400) Subject: Doctor X-Git-Url: https://git.za3k.com/?a=commitdiff_plain;h=c1db64960b9e3f539946909ca4ae75db0ab9bdaf;p=za3k.git Doctor --- diff --git a/archive/doctor_report2.md b/archive/doctor_episodes.md similarity index 67% rename from archive/doctor_report2.md rename to archive/doctor_episodes.md index 63ef618..40bb065 100644 --- a/archive/doctor_report2.md +++ b/archive/doctor_episodes.md @@ -1,92 +1,4 @@ -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 diff --git a/archive/doctor_report3.md b/archive/doctor_report3.md index a9baaea..45bbc25 100644 --- a/archive/doctor_report3.md +++ b/archive/doctor_report3.md @@ -11,6 +11,7 @@ See https://za3k.com/archive/doctor_report3 for a digital copy of this document - 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 @@ -19,7 +20,7 @@ See https://za3k.com/archive/doctor_report3 for a digital copy of this document - (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 @@ -34,7 +35,7 @@ See https://za3k.com/archive/doctor_report3 for a digital copy of this document - 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) @@ -98,9 +99,10 @@ All tests, labs etc should be attached. - **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.