Appendix 8 – History of Tests and Surgical Procedures

Date

Description

Doctor

Remarks

6/12/1998

Neuroma surgery, 2nd toe, Rt. foot

Podiatrist

Uneventful

9/8/1998

Hammertoe surgery, 2nd toe, Rt. foot

Podiatrist

Loss of skin everywhere betadyne was applied

11/9/1998

X-rays of sinuses and knee joints

FPP

On-going sinus inflammation; torn ligament

12/11/1998

Eye exam after loss of vision, right eye

Ophthalmologist

Hosp ER sent Pearl to Ophthalmologist; GCA suspected

12/14/1998

Echo, doppler of carotids

FPP

Good, normal

12/15/1998

Stool

FPP

Negative (good)

12/16/1998

Rt. temporal artery biopsy

Ophthalmologist

Confirmed giant cells present (GCA)

12/17/1998

Bone marrow

Hematologist

Normal

1/18/1999

Liver biopsy; CT Scan of abdomen

Gastroenterologist

All normal; test done at Fl Hosp South

2/9/1999

Thyroid; underactive suspected

Rheumatologist

Normal result

7/7/1999

Doppler and ultrasound scan of legs

Vascular Surgeon

Blockages evident, both legs, multiple arteries

7/11/1999

Doppler scan both legs

Hosp

Blockages evident, both legs, multiple arteries

7/12/1999

Arteriogram of legs

Hosp

Confirm artery blockages in both legs

8/12/1999

Xray right foot/ankle

Podiatrist

Evaluate bruise of right heel - bones OK

9/3/1999

Dual Isotope Stress, Echo, EKG

Cardiologist

OK - screening for HBO therapy on right heel

9/7/1999

Hyperbaric Oxygen treatment

Wound Clinic

Rt. heel ulcer requires oxygen to heel

9/17/1999

Berkeley Heart Panel less Homocyst.

Cardiologist

Lipoprotein (a) high but offset by high HDL

10/27/1999

EKG pain neck, left shoulder

Hosp ER

Muscle spasm; EKG normal

11/9/1999

EKG because pulse was fast at 120

Cardiologist

Good

12/27/1999

MRI of orbits and brain; Rt eye socket

Ophthalmologist

Normal; earlier stroke, basal ganglia behind eye

2/14/2000

Doppler scan of legs

Vascular Surgeon

ABIs poorer than 7/7/99 & 7/11/99 scans

3/28/2000

Wound Care Clinic-left heel

Wound Clinic

Ulcer can heel by itself, adequate oxygen

8/8/2000

Nuclear Stress

Cardiologist

Ejection Fraction low at 52%; limit is 55%

12/1/2000

Retina Tear repaired by Laser

Ophthalmologist

Left eye blurry before; good after

1/31/2001

Lipid Test

Rheumatologist

Good

3/7/2001

Doppler Scan of legs

Vascular Surgeon

Significant improvement in ABIs

8/8/2001

Nuclear Stress; EKG

Cardiologist

Good traces; Ejection Fraction 57%

8/29/2001

IL-6 Test (>6.1 indicates GCA inflammation)

Rheumatologist

<3.1 indicating inflammation under control

9/30/2001

Chest Xray; EKG; CT Thorax; Doppler

Hosp ER

Sinus Tachycardia; aorta inflamm.

11/5/2001

Chest Xray; EKG; CT Thorax; Doppler

Clinic

No aneurysms; blockages: arteritis

11/5/2001

MRA of pelvis, leg arteries

Clinic

Upper thighs 1 block; lt Lwr 3; Rt 2

11/13/2001

Sonogram of carotids; Echo. of heart

Cardiologist

Normal except slight valve leakage

11/14/2001

Chromosome anal.; FISH Study; Bone Marrow

Hematologist

Both Normal; Iron deficiency

1/3/2002

Nuclear Stress

Cardiologist

Normal; Ejection Fraction 70%

3/7/2002

Doppler Scan arms and legs

Vascular Surgeon

Restriction left arm but flow good

3/20/2002

Cataract Surgery, right eye

Ophthalmologist

Removed cataract; vision same

6/12/2002

Cataract Surgery, left eye

Ophthalmologist

Improved vision

7/23/2002

Adrenal, Pituitary Glands function

Endocrinologist

Pituitary OK; Adrenal output low

9/11/2002

Allergen

Allergist

Pine trees, Johnson Grass

10/7/2002

MRA of heart arteries

Clinic

All normal

10/8/2002

PET Scan - chest, abdomen and pelvis

Clinic

No vasculitis; do CT of stomach

11/19/2002

CT Scan looking for stomach tumor

Hematologist

All organs OK

12/17/2002

Upper Endoscopy & biopsy

Gastroenterologist

Barrett's Metaplasia; Sliding hiatal hernia

12/30/2002

Bone density scan

Rheumatologist

Some deterioration, Neck

1/30/2003

Lipid Test

Cardiologist

Good

2/4/2003

Nuclear Stress & Echocardiogram

Cardiologist

Good

2/13/2003

Angiogram

Cardiologist

Good; Renal art's: 3 on Lt, 2 on Rt; 3 aneurysms;

2 beaded; 2 Lt, 1 Rt clear

2/20/2003

Visit ER due to high potassium (6.4)

Internist

ER found it to be 5.4; 6.4 probably was test error.

3/17/2003

Doppler Scan legs

Vascular Surgeon

Improvement

4/15/2003

Pulmonary Function Test

Allergist

Lung age 72 yrs

5/28/2003

Spine Xray

Rheumatologist

Evaluate void shown in Bone Density Scan 12/02

6/23/2003

Upper Endoscopy and biopsy

Gastroenterologist

Barrett's Esophagus; repeat in year or two

7/23/2003

Xray right shoulder

Orthopedist

Bursitis, Cuff Tendonitis

12/9/2003

Conductivity, Rt. Arm

Neurologist

Inconclusive

12/15/2003

MRI, Neck

Neurologist

Vertebrae deterioration

12/18/2003

MRI, Orbits

Ophthalmologist

OK

1/15/2004

Homocysteines

Neurologist

12.3 vs Target of <10

1/23/2004

Breast Cysts Exam

Breast Surgeon

Aspiration of 1 on 2/3/04

1/24/2004

FA test for blood flow to eye arteries

Ophthalmologist

Better than typical flow observed, both eyes

3/4/2004

MRI, Rt. Shoulder

Orthopedist

4 torn ligaments, dislocation

3/16/2004

Doppler Scan legs

Vascular Surgeon

No change; good circulation to toes

4/1/2004

MRI, Lt. Shoulder

Orthopedist

3 torn ligaments, dislocation, cyst, spur

5/7/2004

Conductivity, Lt. Arm

Neurologist

Inconclusive

5/18/2004

Ultrasound of abdominal aorta

Rheumatologist

Inconclusive

5/19/2004

Xray right shoulder

Orthopedist

Much deterioration since 7/23/04 Xray;

5/24/2004

FA test for blood flow to eye arteries

Ophthalmologist

Better than typical flow observed, both eyes

6/17/2004

Anticardiolipin Antibody (IgG) blood test

Rheumatologist

Negative, indicating GCA/PMR inactive

6/28/2004

Xray both shoulders, with weights

Orthopedist

Sprain in left shoulder still present

7/8/2004

MRI of right lower leg for infection

Internist

Posterior tibialis muscle/tendon problem

7/9/2004

ECG (Electrocardiogram)

Cardiologist

Results were good; anxiety attack in office

7/28/2004

Upper endoscopy

Gastroenterologist

Improved from last year - no Barrett's evident

8/27/2004

Doppler Scan legs

Vascular Surgeon

Very poor circulation lower left leg and foot

11/29/2004

Sonogram, left breast

Breast Surgeon

Follow-up of mammogram 11/16/04

12/15/2004

Spot mammogram, sonogram left breast

Breast Surgeon

More info about new spots in left breast; benign

12/30/2004

Doppler Scan legs

Vascular Surgeon

Improvement over scan of 8/27/04

2/17/2005

Bone density scan

Rheumatologist

Borderline osteoporosis

5/3/2005

Pulmonary Function Test

Allergist

Lung age 77 years

6/8/2005

Sonogram, both breasts

Breast Surgeon

Two cysts each breast, right larger - no concern

6/28/2005

FA test for blood flow to eye arteries

Ophthalmologist

Better than typical flow observed, both eyes

7/14/2005

MRA of thoracic aorta

Rheumatologist

Neg. for aneurysms; celiac artery 50% stenotic

9/9/2005

Drain installed in left shoulder

Orthopedist

Swelling due to synovial fluid buildup under skin

12/27/2005

ICG test for blood flow to eye arteries

Ophthalmologist

Eyes appear very healthy

12/29/2005

Spot mammogram, sonogram left breast

Breast Surgeon

More info about new spots in left breast; benign

1/3/2006

Anticardiolipin Antibody (IgG) blood test

Rheumatologist

Negative, indicating GCA/PMR inactive

3/2/2006

Echocardiogram and Ultrasound of Carotids

Cardiologist

Tachycardia in visit 3/1/06; results: 50% Ejection

Fraction; left carotid 50% blocked.

5/5/2006

FA test for blood flow to eye arteries

Ophthalmologist

Eyes appear very healthy

5/22/2006

Chromosome; Jak 2; Bone Marrow

Clin Rheumatol

Normal except no Iron stores

5/22/2006

Doppler Scan legs

Clin Vasc Surgeon

Rt leg and ft good; Lt leg and ft poor but improved

5/23/2006

MRA lwr extremities; mild narrow celiac art.

Clin Vasc Surgeon

Rt popliteal open; Lt arteries stenotic/ischemic; Renal: 2 Rt, 1 Lt wide open

5/23/2006

X-rays shoulders and chest

Clinic Orthopedist

Lt inoperable; Rt high risk for reconstruction

6/26/2006

B12, folate, cryoglobulins, cryofibrinogen, monoclonal protein

Clinic Hematologist

All negative or normal

10/10/2006

Pulmonary Function Test

Allergist

Lung age 83 years - Dr. advised lungs are clear

10/19/2006

FA test for blood flow to eye arteries

Ophthalmologist

Lt eye healthy; Rt eye flow half speed of 1/24/04

11/29/2006

Upper Endoscopy

Gastroenterologist

Same as 2004; no Barrett's evident

12/2/2006

Nuclear Stress & Echocardiogram

Cardiologist

Good; Ejection Fraction highest ever @ 83%.

3/19/2007

Bone density scan

Rheumatologist

Borderline osteoporosis?

3/30/2007

Doppler Scan legs

Vascular Surgeon

50% deterioration from scan of 5/22/06

5/17/2007

Echocardiogram and Ultrasound of Heart

Cardiologist

No pericardial effusion; Eject. Fract. 60-70%

5/18/2007

64 Slice CT Scan of heart and aorta

Cardiologist

No aneurysms, plaque or periph. vasc. disease

8/23/2007

Xray of right knee injured in falls 5/18 & 6/12/07

Rheumatologist

Fluid accumulation - inflammation is speculated

10/9/2007

Xray review and rt. knee examination

Orthopedist

No broken tendons, bones - fluid accum. arthritis

10/19/2007

CT Scan of abdomen for infection evaluation, X-rays of chest and abdomen

Hospital

Shock - kidneys, liver shutdown, lungs filled with fluid; death 38 hours after being "normal" at home

 

 

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