From 65a980be54195ea0d112b9d2266d9542421b792e Mon Sep 17 00:00:00 2001 From: Zachary Vance Date: Thu, 22 Apr 2021 01:44:28 -0700 Subject: [PATCH] Try to improve timelines, one table --- archive/doctor_report2.md | 145 +++++++++++++++++++------------------- 1 file changed, 72 insertions(+), 73 deletions(-) diff --git a/archive/doctor_report2.md b/archive/doctor_report2.md index b9311a0..7e8908b 100644 --- a/archive/doctor_report2.md +++ b/archive/doctor_report2.md @@ -35,99 +35,97 @@ Father - Pretty healthy. Parkinsons, overweight. ## 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 -?: 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 - -... - -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. +- **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 +- **?**: 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 +--- +- **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. +- **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 +- **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. +- **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) +- **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) ## Zachary Vance - Symptom Timeline ### Non-recent, heart-related -2019-06-04: Retired (became more sedentary) -2020-01-23: **"Skipped" or hollow-feeling beat** (first heart palpitation). At colorado airport (high-altitude), on some caffein. -2020-05: Gradually reduced and stopped caffein consumption, which reduced heart palpitations. -2020-10-09: First **heart racing** -2020-12-09: Began new exercise program. Previously 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 supplementation seemed to relieve "exhausted" feeling. Heart racing and tiredness symptoms disappeared a few weeks after this. I stayed on occasional B-2 but not riboflavin. +- **2019-06-04**: Retired (became more sedentary) +- **2020-01-23**: **"Skipped" or hollow-feeling beat** (first heart palpitation). At colorado airport (high-altitude), on some caffein. +- **2020-05**: Gradually reduced and stopped caffein consumption, which reduced heart palpitations. +- **2020-10-09**: First **heart racing** +- **2020-12-09**: Began new exercise program. Previously 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 supplementation seemed to relieve "exhausted" feeling. Heart racing and tiredness symptoms disappeared a few weeks after this. I stayed on occasional B-2 but not riboflavin. ### Recent (complete) The first time a symptom appears, it is **bolded**. I've had two distinct kinds of lightheadedness--ask me about it. The first kind was the usual kind--like when you stand up too quickly. It usually got better or went away if I sat or laid down. The second I don't know how to describe, but it seemed to be hard to focus, and it was correlated with feeling like blood was pooling in my head. -2021-03-24: Had a short **episode** where I felt like I increasingly wasn't getting oxygen (but could physically breathe fine). Checked using a pulse oximiter--blood oxygen was 96%, but pulse was 120 and rose to 180 by the time I grabbed my roommate to keep an eye on me. Went back down within a couple minutes. Legs/arms were clenching on their own. Had a glass of water and an ibuprofen. Heart rate was relatively normal (85-90) an hour later so didn't go to the ER. Episode was about 2 hours after a stressful falling-out with a stranger. Trouble sleeping. -2021-03-25: Try to relax. Feeling ok. -2021-03-26: Center of **chest tender**. -2021-03-27: Fine. -2021-03-28: Fine. **Muscles twitching**. **Bottom of throat feels lightly choked** -2021-03-29: Fine. Muscles twitching, esp chest. Choking feeling. -2021-03-30: Muscles twitching. **Throat feeling 'pinched' and closed up**, choking. **Green poop**. **Possible heart racing episode.** -2021-03-31: **Lightheaded**. Choking feeling absent. -2021-04-01: Chocking feeling returning. Lightheaded when standing. At night, **mechanical trouble breathing**, especially face down or face up. In evening, **throat swollen, irritated feeling in chest**. Worried I was stopping breathing when falling asleep--body felt like it just wouldn't bother with the inhale. Moved to living room to sleep, had roommate watch me a bit. Sleep apnea also worse than usual. - Developed theory that the cause might be environmental (ex. allergy) and stayed in living room for several days to test. -2021-04-02: Living room. Made Doctor's appt at Highland Hospital. Breathing fine in morning. Lightheaded in evening sitting down (worse standing). Throat closing up in evening. **Blood pooling in hands** in evening. -2021-04-03: Living room. Throat slightly closed up. Chest, right side twitchy. Short of breath just sitting. Throat closing up in evening. Chest tight/sore. Just **right half of throat swollen**, **feeling of something stuck in throat**. While laying on floor nearly asleep, sudden huge **spasms on one side of chest (forget which)**--whole lower chest rapidly compacting and releasing. checked heart rate right after, 160bpm. I seemed fine, so went back to sleep about 5-10 minutes later. -2021-04-04: Living room. **Cold sore.** Quick heart race, felt hard to breathe. **Heartbeat looked irregular** while standing (and checking pulse). Trembly, flushed, lightheaded sitting after. Throat swollen+lightheaded in evening. -2021-04-05: Living room. Cold sore. Lightheaded. - Telemedicine visit -2021-04-06: Living room. Cold sore. Internal hemmorhoid starting? Poss irregular heartbeat. -2021-04-07: Slightly lightheaded. Out of breath from things like drinking water. Left leg 'pulsing a little'. **Feel heavy** / trembly. Feeling of something caught in throat. Slight **feeling of having inhaled water**, like down nose. - Swapped air filter in my room. -2021-04-08: Feeling of something stuck in throat. Slightly out of it. Lightheaded. Dizzy. Poss vertigo+panic at night. -2021-04-09: Cold sore gone. Internal hemmorhoid starting? Something stuck in throat. **Heart rate extremely low at night (50s, dipped below once)**. Monitoring heart rate. Felt/saw like heart stopped (unclear if true), then sudden fast heart rate (50 to 160). bpm ~59 after this. -2021-04-10: Stressed. Short of breath. More weird-beat palpitations than usual. -2021-04-11: Lightheaded when standing. Head feels weird and intense when standing, like **blood pooling in my head**. Feeling of **hearing shutting off** in one ear. -2021-04-12: Head weird and floaty. Blood in left leg twitching. When nearing sleep, a **whomp of blood vessels tightning or releasing or something for 2-3 sec**? Trouble sleeping. -2021-04-13: **Feeling of all the blood suddenly rushing from my head** while sitting there. Up until then, had felt some pressure/extra blood in head. Dizzy for a minute or two after, like room was swaying a bit. Heart went a little fast (95-120). Blood rushing to head slowly while falling asleep. Trouble sleeping. -2021-04-14: Lightheaded. Blood suddenly rushed to/from head. **Face slightly numb**, sweat. Minor acid reflux. Heart went a little faster for a bit. Trouble standing even a few minutes. Trouble sleeping. -2021-04-15: Feeling of blood pooling in face/head. Very lightheaded standing. Trouble standing even a few minutes. Did not sleep. -2021-04-16: Hospital visit. Feeling much better, can walk around and stand. Became lightheaded around 3pm in hospital. Lightheaded and a little dizzy. Head feels heavy. Slept. Rapid shallow breathing, felt fine. Extra sleeping. Floaty/dreamy. Tilting my head past vertical feels weird. Acid reflux. Trembly arms. Palpitations, feel dizzy. +- **2021-03-24**: Had a short **episode** where I felt like I increasingly wasn't getting oxygen (but could physically breathe fine). Checked using a pulse oximiter--blood oxygen was 96%, but pulse was 120 and rose to 180 by the time I grabbed my roommate to keep an eye on me. Went back down within a couple minutes. Legs/arms were clenching on their own. Had a glass of water and an ibuprofen. Heart rate was relatively normal (85-90) an hour later so didn't go to the ER. Episode was about 2 hours after a stressful falling-out with a stranger. Trouble sleeping. +- **2021-03-25**: Try to relax. Feeling ok. +- **2021-03-26**: Center of **chest tender**. +- **2021-03-27**: Fine. +- **2021-03-28**: Fine. **Muscles twitching**. **Bottom of throat feels lightly choked** +- **2021-03-29**: Fine. Muscles twitching, esp chest. Choking feeling. +- **2021-03-30**: Muscles twitching. **Throat feeling 'pinched' and closed up**, choking. **Green poop**. **Possible heart racing episode.** +- **2021-03-31**: **Lightheaded**. Choking feeling absent. +- **2021-04-01**: Chocking feeling returning. Lightheaded when standing. At night, **mechanical trouble breathing**, especially face down or face up. In evening, **throat swollen, irritated feeling in chest**. Worried I was stopping breathing when falling asleep--body felt like it just wouldn't bother with the inhale. Moved to living room to sleep, had roommate watch me a bit. Sleep apnea also worse than usual. + - Developed theory that the cause might be environmental (ex. allergy) and stayed in living room for several days to test. +- **2021-04-02**: Living room. Made Doctor's appt at Highland Hospital. Breathing fine in morning. Lightheaded in evening sitting down (worse standing). Throat closing up in evening. **Blood pooling in hands** in evening. +- **2021-04-03**: Living room. Throat slightly closed up. Chest, right side twitchy. Short of breath just sitting. Throat closing up in evening. Chest tight/sore. Just **right half of throat swollen**, **feeling of something stuck in throat**. While laying on floor nearly asleep, sudden huge **spasms on one side of chest (forget which)**--whole lower chest rapidly compacting and releasing. checked heart rate right after, 160bpm. I seemed fine, so went back to sleep about 5-10 minutes later. +- **2021-04-04**: Living room. **Cold sore.** Quick heart race, felt hard to breathe. **Heartbeat looked irregular** while standing (and checking pulse). Trembly, flushed, lightheaded sitting after. Throat swollen+lightheaded in evening. +- **2021-04-05**: Living room. Cold sore. Lightheaded. + - Telemedicine visit +- **2021-04-06**: Living room. Cold sore. Internal hemmorhoid starting? Poss irregular heartbeat. +- **2021-04-07**: Slightly lightheaded. Out of breath from things like drinking water. Left leg 'pulsing a little'. **Feel heavy** / trembly. Feeling of something caught in throat. Slight **feeling of having inhaled water**, like down nose. + - Swapped air filter in my room. +- **2021-04-08**: Feeling of something stuck in throat. Slightly out of it. Lightheaded. Dizzy. Poss vertigo+panic at night. +- **2021-04-09**: Cold sore gone. Internal hemmorhoid starting? Something stuck in throat. **Heart rate extremely low at night (50s, dipped below once)**. Monitoring heart rate. Felt/saw like heart stopped (unclear if true), then sudden fast heart rate (50 to 160). bpm ~59 after this. +- **2021-04-10**: Stressed. Short of breath. More weird-beat palpitations than usual. +- **2021-04-11**: Lightheaded when standing. Head feels weird and intense when standing, like **blood pooling in my head**. Feeling of **hearing shutting off** in one ear. +- **2021-04-12**: Head weird and floaty. Blood in left leg twitching. When nearing sleep, a **whomp of blood vessels tightning or releasing or something for 2-3 sec**? Trouble sleeping. +- **2021-04-13**: **Feeling of all the blood suddenly rushing from my head** while sitting there. Up until then, had felt some pressure/extra blood in head. Dizzy for a minute or two after, like room was swaying a bit. Heart went a little fast (95-120). Blood rushing to head slowly while falling asleep. Trouble sleeping. +- **2021-04-14**: Lightheaded. Blood suddenly rushed to/from head. **Face slightly numb**, sweat. Minor acid reflux. Heart went a little faster for a bit. Trouble standing even a few minutes. Trouble sleeping. +- **2021-04-15**: Feeling of blood pooling in face/head. Very lightheaded standing. Trouble standing even a few minutes. Did not sleep. +- **2021-04-16**: Hospital visit. Feeling much better, can walk around and stand. Became lightheaded around 3pm in hospital. Lightheaded and a little dizzy. Head feels heavy. Slept. Rapid shallow breathing, felt fine. Extra sleeping. Floaty/dreamy. Tilting my head past vertical feels weird. Acid reflux. Trembly arms. Palpitations, feel dizzy. Got lightheaded in the hospital with a mask on--some evidence this is not environmental. -2021-04-17: Worrying about stroke because of headaches/blood pooling in head. Called 911 in the morning, thought I had a transient stroke--woke up or was almost asleep when I suddenly head a headache and couldn't move or call out. Was probably a false alarm--EMTs decided I did not need to go to the ER. Feeling heady, especially head, like gravity is turned up. -2021-04-18: Pretty good. Heart races in morning (5-15 sec), felt a surge of adrenaline when waking up for 1st one. Lightheaded and dizzy. Head heavy. -2021-04-19: Feeling good. Head heavy, dizzy. -2021-04-20: Feeling good. Heart a little fast, somewhat stupid. -2021-04-21: Feeling good. Heart a little fast, somewhat stupid. +- **2021-04-17**: Worrying about stroke because of headaches/blood pooling in head. Called 911 in the morning, thought I had a transient stroke--woke up or was almost asleep when I suddenly head a headache and couldn't move or call out. Was probably a false alarm--EMTs decided I did not need to go to the ER. Feeling heady, especially head, like gravity is turned up. +- **2021-04-18**: Pretty good. Heart races in morning (5-15 sec), felt a surge of adrenaline when waking up for 1st one. Lightheaded and dizzy. Head heavy. +- **2021-04-19**: Feeling good. Head heavy, dizzy. +- **2021-04-20**: Feeling good. Heart a little fast, somewhat stupid. +- **2021-04-21**: Feeling good. Heart a little fast, somewhat stupid. ## Zachary Vance - Measurements (at-home) @@ -172,6 +170,7 @@ Notes: I take my morning pulse and sometimes my standing pulse as a regular thin Measurements are with a "ZacVrate" pulse oximeter ### Blood Pressure Measurements + | Date | Arm | Blood Pressure | Notes |------------|-------|-----------------| | 2021-04-04 | right | 125/91, bpm 87 | First time using pressure cuff -- 2.47.3