Jon Duffey's Chronology of

~~~~~~~~~~~~~~~~~~~~~~~~
Cardiac Episodes - Part I

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Tuesday, October 11, 1994

Early AM: Began having pains - sternum area.

Tuesday, October 18, 1994

9AM: Appointment at Dr. Carson's Office - Given Zantac prescription for ulcer.

Friday, October 21, 1994

11AM: Appointment at Dr. Carson's Office.

------Dr. Fastia ordered EKG, and I was told I had heart attack.

------Taken to Helen Ellis CCU, met Dr. Stephen Stark.

1PM: Transferred to Morton-Plant CCU.

9PM: Dr. Stark did first Angioplasty: LAD & part of rear.

Monday, October 24, 1994

10AM: Dr. Stark did second Angioplasty: LAD.

Wednesday, October 26, 1994

11AM: (Mugga) Nuclear Medicine scan to determine usable heart tissue.

-------Result: 28% Ejection Factor.

Thursday, October 27, 1994

Noon: Discharged with the following MEDICATIONS PRESCRIBED:

--------------------------- Baby Bayer --------------------------- Capoten --------------------------- Coumadin --------------------------- Monoket --------------------------- Zantac ---------------------------	--------------------------- 81 mg --------------------------- 12.5 mg --------------------------- 5 mg --------------------------- 10 mg --------------------------- 150 mg ---------------------------	--------------------------- one/day --------------------------- twice/day --------------------------- one/day --------------------------- twice/day @12hr --------------------------- twice/day ---------------------------

Sunday, October 30, 1994

9:30 AM: Chest discomfort - to Helen Ellis E.R., admitted for observation.

Monday, October 31, 1994

Noon: Discharged. Later that day: Severe bleeding - Hemorrhoids

4PM: Appointment with Dr. Stark. Pro-Time blood test @HE.

MEDICATIONS CHANGES:

--------------------------- Baby Bayer --------------------------- Capoten --------------------------- Coumadin --------------------------- Lanoxin (new) --------------------------- Monoket --------------------------- Nitrostat (new) --------------------------- Zantac ---------------------------	--------------------------- 81 mg --------------------------- 12.5 mg --------------------------- 5 mg --------------------------- 0.25 mg --------------------------- 10 mg --------------------------- 0.4 mg --------------------------- 150 mg ---------------------------	--------------------------- one/day --------------------------- twice/day --------------------------- one/day --------------------------- one/day --------------------------- twice/day @12hr --------------------------- as needed --------------------------- twice/day ---------------------------

Tuesday, November 1, 1994

10AM: Thalium Stress Test at Helen Ellis - unwise to drive to MP.

Wednesday, November 2, 1994

11AM/3PM: Thalium Folo Test at Helen Ellis

Sunday, November 6, 1994

7:05 AM: 1Nitro for chest discomfort

12:20 PM: 1Nitro for chest discomfort

Wednesday, November 9, 1994

10:00PM: 1Nitro for chest discomfort

Friday, November 11, 1994

6:00PM: 1Nitro for chest discomfort

Sunday, November 13, 1994

9AM-10PM: 6-Nitro for chest discomfort (twice x3)

Monday, November 14, 1994

2PM: Appointment with Dr. Stark. Ordered Cholesterol screen.

Results: ----------------------- P-T ----------------------- Total Cholesterol ----------------------- Triglycerides ----------------------- HDL (good) ----------------------- LDL (bad) -----------------------	November '94 ----------------------- --- ----------------------- 202 ----------------------- 205 ----------------------- 27 ----------------------- 126 -----------------------

MEDICATIONS CHANGES

--------------------------- Baby Bayer --------------------------- Capoten --------------------------- Coumadin --------------------------- Lanoxin --------------------------- Monoket --------------------------- Norvasc (new) --------------------------- Nitrostat --------------------------- Zantac --------------------------- Zocor (new) ---------------------------	--------------------------- 81 mg --------------------------- deleted --------------------------- 5 mg --------------------------- 0.25 mg --------------------------- 10 mg --------------------------- 5 mg --------------------------- 0.4 mg --------------------------- 150 mg --------------------------- 10 mg ---------------------------	--------------------------- one/day --------------------------- deleted --------------------------- one/day --------------------------- one/day --------------------------- twice/day @12hr --------------------------- one/day --------------------------- as needed --------------------------- twice/day --------------------------- one/day at bedtime ---------------------------

Wednesday, November 16, 1994

First appointment NORTH PINELLAS CARDIOVASCULAR CENTER Rehab program: leg-2' treadmill @ 50% 1.25, leg-5' treadmill @2.5, arm-3' dumbbell @ 2 pounds, leg-5' bike @ 2, arm-3' pulley @ 2 pounds, leg-5' aerodyne @ 0.7-1.0, arm-3' Red Dynaband. Rehab: 24 min I=P88 BP118/60 PK=128 O=P99 BP100/70 RPE: Peak=15 Average=12 Good Session.

Friday, November 18, 1994

Rehab: 24 min I=P76 BP100/60 PK=P124 O=P86 BP: 88/60 RPE: Peak=13 Average=9.8 Good Session

Monday, November 21, 1994

Rehab: 24 min I=P95 BP100/60 PK=P128 O=P98 BP: 84/54 RPE: Peak=14 Average=12.7 Rough Session

Evening - Minor chest discomfort... took one nitro

Wednesday, November 23, 1994

Rehab: 16 min I=P75 BP88/60 PK=112 O=P90 BP90/62 RPE: Peak=12 Average=9.8 Bad Session: SOB-Stopped @ 4th Mode Irregular EKG faxed to Dr. Stark. Intermittent chest discomfort continued.

Thursday, November 24, 1994

Intermittent chest discomfort continued

Friday, November 25, 1994

Intermittent chest discomfort continued

11AM: Took one nitro and got light headed and short of breath

12:30PM: Took Second nitro/ Pulse raced to 155 bts/min after 25-foot walk through house drove to doctor, pulse hit 200+. Two rapid pulse episodes - controlled by abdominal force. Told: Atrial fibrillation.

2:30PM: EMS took me to Mease-Countryside ER, got tPA, Lopressor, fluids. Admitted to CICU, monitored closely all weekend.

Monday, November 28, 1994

5PM: SunStar transferred me to Morton-Plant/Clearwater.

Tuesday, November 29, 1994

10AM: Dr. Stark did third Angioplasty: LAD.

Thursday, December 1, 1994

Noon: Discharged with the following MEDICATIONS CHANGES:

--------------------------- Baby Bayer --------------------------- Coumadin --------------------------- Lanoxin --------------------------- Lopressor (new) --------------------------- Monoket --------------------------- Norvasc --------------------------- Nitrostat --------------------------- Zantac --------------------------- Zocor (new) ---------------------------	--------------------------- deleted --------------------------- 5 mg --------------------------- 0.25 mg --------------------------- 0.25 mg --------------------------- 10 mg --------------------------- 5 mg --------------------------- 0.4 mg --------------------------- 150 mg --------------------------- 10 mg ---------------------------	--------------------------- deleted --------------------------- one/day --------------------------- one/day --------------------------- one/day --------------------------- twice/day @12hr --------------------------- one/day --------------------------- as needed --------------------------- twice/day --------------------------- one/day at bedtime ---------------------------

Saturday, December 10, 1994

7PM: Chest discomfort - took nitro

8PM: Pulse started racing again & Sheri took me to Helen Ellis. Was given Nitro, Lidocaine, and tPA, moved to CCU next day.

Tuesday, December 13, 1994

5PM: Stable enough for SunStar to transport to Morton Plant Hospital.

Wednesday, December 14, 1994

7AM: Dr. Stark began Angioplasty to insert Stent in artery. Once in view, saw Right Coronary was closed by spasm, given nitro but no Stent procedure was done. Test shows 30%+ ejection factor now.

Thursday, December 16, 1994

8PM Discharged with the following MEDICATIONS CHANGES:

--------------------------- Coumadin --------------------------- Lanoxin --------------------------- Lopressor --------------------------- Monoket --------------------------- Norvasc (dose upped) --------------------------- Nitrostat --------------------------- Paxil (new) --------------------------- Zanax [Alprazolam](new) --------------------------- Zantac --------------------------- Zocor ---------------------------	--------------------------- 5 mg --------------------------- 0.25 mg --------------------------- deleted --------------------------- 10 mg --------------------------- 10 mg --------------------------- 0.4 mg --------------------------- 20 mg --------------------------- .25 mg --------------------------- 150 mg --------------------------- 10 mg ---------------------------	--------------------------- one/day --------------------------- one/day --------------------------- deleted --------------------------- twice/day @12hr --------------------------- one/day --------------------------- as needed --------------------------- one/day at bedtime --------------------------- three/day --------------------------- twice/day --------------------------- one/day at bedtime ---------------------------

Tuesday, December 20, 1994

3PM: Got dizzy & disoriented at Social Security Office. Drove to Morton Plant Emergency Room: Tachycardia & V-Tach. Given Lidocaine and admitted.

Wednesday, December 21, 1994

9AM: Dr. Stark recommended Electro-physiology study (EPS) and met Dr. Andrew Hazlitt. Taken off blood thinners for test.

Friday, December 23, 1974

10AM: Taken to lab for EPS, but test delayed because I was still on Lidocaine.

1PM: EPS conducted. Dr. Hazlitt suggests aggressive treatment: Medications and AICD - Automatic Implantable Cardioverter Defibrillator. Met Dr. Gary Dworkin, with Cardiac Surgical Associates (CSA).

Monday, December 26, 1974

8AM: Given Thalium Stress Test: 8-Min on treadmill - good.

1PM: Follow-up Test. As expected heart damage & ischemia but able to tolerate operation. Offered CPI device under study. Agreed & surgery scheduled. Met anesthesiologist (Dr?) & Dr. Richard Murbach, CSA surgeon.

Tuesday, December 27, 1994

11AM: Underwent Surgery for AICD implant.Woke up twice during procedure - cool! Recovery went well.

Friday, December 30, 1994

11AM: AICD test went well.

8PM: Discharged with following MEDICATIONS CHANGES:

--------------------------- Coumadin --------------------------- Lanoxin --------------------------- Mexitil (new) --------------------------- Monoket --------------------------- Norvasc --------------------------- Nitrostat --------------------------- Paxil --------------------------- Zanax [Alprazolam] --------------------------- Zantac --------------------------- Zocor ---------------------------	--------------------------- 5 mg --------------------------- 0.25 mg --------------------------- 150 mg --------------------------- 10 mg --------------------------- 10 mg --------------------------- 0.4 mg --------------------------- 20 mg --------------------------- .25 mg --------------------------- 150 mg --------------------------- 10 mg ---------------------------	--------------------------- one/day --------------------------- one/day --------------------------- three/day --------------------------- twice/day @12hr --------------------------- one/day --------------------------- as needed --------------------------- one/day at bedtime --------------------------- three/day --------------------------- twice/day --------------------------- one/day at bedtime ---------------------------

Tuesday, January 3, 1995

4PM: Checked by Dr. Stark : All looks good.

Thursday, January 5, 1995

3PM: Surgery sites checked by Physicans Assistant at CSA: good.

Friday, January 6, 1995 - ZAP/1

8PM: Got dizzy at restaurant. Within 5 sec AICD fired once. Felt kick in chest, nerves in arms & legs jangled, saw blue flash, knocked (slowly) to floor. Dr. Abbott: Come in to office in AM to boost Mexitil to 200 mg. Dr. Gallastegui: No major concern, no medical attention needed.... AICD just doing its job.

Saturday, January 7, 1995

12N: Saw RN Dominick in Office for the following MEDICATIONS CHANGES:

--------------------------- Coumadin --------------------------- Lanoxin --------------------------- Mexitil (dose upped) --------------------------- Monoket --------------------------- Norvasc --------------------------- Nitrostat --------------------------- Paxil --------------------------- Zanax [Alprazolam] --------------------------- Zantac --------------------------- Zocor ---------------------------	--------------------------- 5 mg --------------------------- 0.25 mg --------------------------- 200 mg --------------------------- 10 mg --------------------------- 10 mg --------------------------- 0.4 mg --------------------------- 20 mg --------------------------- .25 mg --------------------------- 150 mg --------------------------- 10 mg ---------------------------	--------------------------- one/day --------------------------- one/day --------------------------- three/day --------------------------- twice/day @12hr --------------------------- one/day --------------------------- as needed --------------------------- one/day at bedtime --------------------------- three/day --------------------------- twice/day --------------------------- one/day at bedtime ---------------------------

Sunday, January 8, 1995 - ZAP/2

10AM: AICD fired without warning while sitting on floor pushing up on computer drawer.

RN Dominick: See Dr. Stark Monday. Dr. Gallastegui: Come in Tuesday, unless AICD refires.

Monday, January 9, 1995

2PM: Checked by Dr. Stark - OK.

Tuesday, January 10, 1995

11AM: Checked by Dr. Hazlitt: Need more data.

2PM: AICD "read" by Karen Donatello of Morton Plant & John Larkin, CPI engineer: 8-incidents, 2 Shocks (Therapy). "Therapy" threshhold lowered to 185 beats/minute.

3PM: Equipped with Holter (EKG) monitor/recorder at Morton Plant Palm Harbor office of Dr. Hazlitt.

Wednesday, January 11, 1995

10AM: Blood drawn at Dr. Stark's: Enzymes/electrolytes within limits.

3PM: Returned Holter, Dr. Phillips (1/19): Results look good, with only 100 or so extra beats.

Wednesday, January 18, 1995

2PM: Kelly Williams (10NEWS) interviewed me, Drs. Gallastegui & Hazlitt about AICD.

Thursday, January 19, 1995

5PM: AICD report aired on 5:30/Healthcast segment

7PM: Attended my first AICD support group and elected President.

Wednesday, January 11, 1995

1PM: One month AICD Check-up at Morton Plant/Pacemaker Clinic. Considerable discomfort as voltage levels tested & adjusted.

Friday, January 27, 1995

9:30AM: Blood drawing at Dr. Stark's Office (Pro-time & Cholesterol)

Results: ----------------------- P-T ----------------------- Total Cholesterol ----------------------- Triglycerides ----------------------- HDL (good) ----------------------- LDL (bad) -----------------------	January '95 ----------------------- --- ----------------------- 147 ----------------------- 125 ----------------------- 38 ----------------------- 84 -----------------------	November '94 ----------------------- --- ----------------------- 202 ----------------------- 205 ----------------------- 27 ----------------------- 126 -----------------------

Monday, January 30, 1995

Dr. Stark pleased with results - OK to restart rehab program.

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Jon Duffey's Chronology of

~~~~~~~~~~~~~~~~~~~~~~~~ Cardiac Episodes - Part I

~~~~~~~~~~~~~~~~~~~~~~~~
Cardiac Episodes - Part I