Jon Duffey's Chronology of

~~~~~~~~~~~~~~~~~~~~~~~~
Cardiac Episodes - Part II
And Resource Directory

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Friday, February 10, 1995
Resumed Rehab @ North Pinellas Cardiovascular Center
3x4min legs: Treadmill=2mph/Incline1 Aerodyne=Level-1 Bike=Tension-1
3x2min arm: Barbells=2lbs Wall Pulley=2lbs Dynaband=Green
Rehab: 18 min I=P84 BP80/50 PK=112 O=P84 BP84/60
RPE: Peak=12 Average=9.8 Good session.


Monday, February 13, 1995
Rehab: 18 min I=P77 BP102/61 PK=130 O=P90 BP92/62
RPE: Peak=12 Average=9.8 Good Session


Wednesday, February 15, 1995
Rehab: 18 min I=P86 BP100/60 PK=128 O=P93 BP86/60
RPE: Peak=12 Average=11.8 Tough Session
Aerodyne upped=Level-1.5 Treadmill upped=3mph/Incline-1


Friday, February 17, 1995
Rehab: 21 min I=P86 BP92/60 PK=128 O=P94 BP84/60 RPE=11
RPE: Peak=11 Average=9.7 Good Session - leg modes to 5-min.


Monday, February 20, 1995
Rehab: 21 min I=P82 BP96/60 PK=125 O=P94 BP88/64
RPE: Peak=11 Average=9.8 Good Session Dynaband upped=Purple


Wednesday, February 22, 1995
Rehab: 21 min I=P88 BP98/66 PK=130 O=P92 BP108/76 RPE=10
RPE: Peak=10 Average=8.8 Easy Session Treadmill upped=3mph/Incline-2


Friday, February 24, 1995
Rehab: 18 min I=P BP / PK=P O=P BP / (data not available yet)
Rough Session. Stopped in Mode-5: chest pressure & ischemic heart patterns.
Dr. Stark faxed 12-lead EKG.


Monday, February 27, 1995
Rehab: No entry available


Tuesday, February 28, 1995
Dr. Hazlitt's Nurse removed stitch from upper incision site.


Wednesday, March 1, 1995
Rehab: No entry available


Friday, March 3, 1995
Rehab: No entry available


Monday, March 6, 1995
Appointment with Doctor Stark, pleased with progress. Says the elevated "ST levels" at rehab are nothing to worry about.


Tuesday, March 7, 1995
Introduction to new Rehab center at Morton Plant/Palm Harbor.


Wednesday, March 8, 1995
Rehab: No entry available


Friday, March 10, 1995
Noted 8 pound weight gain at Rehab. B/P checked after warmup and told to sit - until sent home. Dr. Stark notified. His nurse said to come in Monday.


Saturday, March 11, 1995
Felt bad all day: Short of breath & minor chest pain.


Sunday, March 12, 1995 - ZAP/3
No improvement. When AICD fired at 8:30PM, called EMS. Taken to Morton Plant E.R. 5-8 PVC/minute. Admitted for observation.


Monday - Thrursday, March 13 - 16, 1995
Various tests performed: AICD interrogation - Therapy appropriatey delivered after V-tach detection. Dr. Hazlitt: "Pleased with operation of AICD."
Mugga Scan - Now showing 34% ejection factor.
Chemistry - No substantial deviation from norm.
Dr. Murbach checked suture sites. His PA removed a lower incision stitch.
Holter Monitor - No new significant cardiac electrical irregularities.
Dr. Stark: "This was Conjunctive Heart Failure. Expect it from time to time rest of my life. Lucky to have gone this long without seeing it."


Thursday, March 16, 1995
Discharged with the following MEDICATIONS CHANGES:
---------------------------
Coumadin
---------------------------
Dyazide [T../HCTZ](new)
---------------------------
Lanoxin
---------------------------
Mexitil
---------------------------
Monoket
---------------------------
Norvasc
---------------------------
Nitrostat
---------------------------
Paxil
---------------------------
Zanax [Alprazolam]
---------------------------
Zantac
---------------------------
Zocor
---------------------------		 ---------------------------
5 mg
---------------------------
37.5/25cp
---------------------------
0.25 mg
---------------------------
150 mg
---------------------------
10 mg
---------------------------
10 mg
---------------------------
0.4 mg
---------------------------
20 mg
---------------------------
.25 mg
---------------------------
150 mg
---------------------------
10 mg
---------------------------
 ---------------------------
one/day
---------------------------
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
---------------------------

Wednesday, April 5, 1995
Restart rehab at Morton Plant, Palm Harbor Center.


Thursday, April 27, 1995
Blood drawn for PT & Cholesterol.


Results:
-----------------------
P-T
-----------------------
Total Cholesterol
-----------------------
Triglycerides
-----------------------
HDL (good)
-----------------------
LDL (bad)
-----------------------		 April '95
-----------------------
17.0
-----------------------
140
-----------------------
165
-----------------------
27
-----------------------
80
-----------------------		 January '95
-----------------------
---
-----------------------
147
-----------------------
125
-----------------------
38
-----------------------
84
-----------------------		 November '94
-----------------------
---
-----------------------
202
-----------------------
205
-----------------------
27
-----------------------
126
-----------------------

Monday, May 23, 1995
Completed rehab at Morton Plant, Palm Harbor Center.


Tuesday, May 30, 1995
Appointment with Dr. Stark: Likes everything he saw/heard except for swelling of left breast (around implant [lead] cable.)


Sunday, June 11, 1995 - ZAP/4
10AM: Got dizzy, followed by AICD discharge. OK after single "therapy" dose. Hazlitt's on call physician: No major concern for now.


Tuesday, June 13, 1995
AICD Interogation: 2PM - Morton Plant Pacemaker Clinic: Therapy on June 11 was appropriate. Two other incidents broke (resolved) prior to delivery of therapy.


Monday, June 26, 1995
Sternum chest pain nearly uninterrupted for more than a day, but heart sounds fine.


Tuesday, June 27, 1995
Saw Dr. Stark. EKG: Nothing significant. Boost Zantac+1 for a few days.


Sunday, August 27, 1995 - ZAP/5
3:10PM: Got dizzy after strenuous work on hot porch, followed by AICD discharge. OK after single "therapy" dose. Hazlitt's on call physician: No major concern for now.


Tuesday, September 12, 1995
2PM: AICD Interogation at Morton Plant Pacemaker Clinic: Therapy on June 27 was appropriate. One other incident on June 30th broke (resolved) prior to delivery of therapy.


Wednesday, September 13, 1995
12PM Noon Bayfront Medical Center, AICD Group at Sheen Conference Center.


Tuesday, September 25, 1995
Blood drawn for PT & Cholesterol.


Results:
-----------------------
P-T -----------------------
Total Cholesterol -----------------------
Triglycerides -----------------------
HDL (good) -----------------------
LDL (bad) -----------------------		 September '95
-----------------------
19.1
-----------------------
160
-----------------------
172
-----------------------
28
-----------------------
98
-----------------------		 April '95
-----------------------
17.0
-----------------------
140
-----------------------
165
-----------------------
27
-----------------------
80
-----------------------		 January '95
-----------------------
---
-----------------------
147
-----------------------
125
-----------------------
38
-----------------------
84
-----------------------		 November '94
-----------------------
---
-----------------------
202
-----------------------
205
-----------------------
27
-----------------------
126
-----------------------

Tuesday, October 3, 1995
Appointment with Dr. Stark: Change Coumadin to .25mg Sat Sun. .5mg Mon-Fri. Sternum pains sound like GI, except heat induced. Reason: ?


Saturday, October 21, 1995
One year anniversary of MI diagnosis.


Sunday, November 19, 1995- ZAP/6?
I had a nasty bout with influenza, which included elevated temperature to 102.7, extremely frequent and high volume diarrhea, and significant vomitting. During a nap, I awoke to what I thought was the conclusion of an AICD "therapy session." Called Dr. Stark and he suggested to guard against dehydration and electrolytes embalance.


Wednesday, November 22, 1995
10PM: Significant pain in sternum area and down left arm and hand. Took a nitro and pain subsided for less than ten minutes. Repeated process twice and called Dr. Stark. Dr. Abbott on call and told me to go to Helen Ellis immediately and get an EKG.
Nothing significant on EKG or Enzyme tests. However, PT level was lower than acceptable. Dr. Abbott told me to double Monoket doseage for a few weeks, then get another PT test.


Tuesday, December 12, 1995
AICD Interrogation: 2:30pm Morton Plant Pacemaker Clinic:
No "Therapy" since last interrogation. No abnormal patterns (V-Tach V-Fib, etc.) in past three months.

Monday, January 8th 11:30am
Blood drawing at PCP office for Pro-Time/Cholesterol/SMAK

Results:
-----------------------
P-T -----------------------
Total Cholesterol -----------------------
Triglycerides -----------------------
HDL (good) -----------------------
LDL (bad) -----------------------		 January '94
-----------------------
18.5
-----------------------
148
-----------------------
137
-----------------------
37
-----------------------
84
-----------------------		 September '95
-----------------------
19.1
-----------------------
160
-----------------------
172
-----------------------
28
-----------------------
98
-----------------------		 April '95
-----------------------
17.0
-----------------------
140
-----------------------
165
-----------------------
27
-----------------------
80
-----------------------		 January '95
-----------------------
---
-----------------------
147
-----------------------
125
-----------------------
38
-----------------------
84
-----------------------
OTHER TEST RESULTS:
Glucose
Urea Nitrogen (BUN)
Creantinine
BUN:Cratinine
Sodium
Chloride
Magnesium
Calcium
Phosphorous/inorganic
Protein/total
Albumin
Globulin
 93
14
1.4
10
143
101
1.8
9.8
2.7
7.4
4.3
3.1










- - - - -
Albumin:Globulin
Bilirubin/total
Alkaline Phosphotase
LDH/Total
GGT
AST (SGPT)
ALT (SGPT)
Uric Acid
Iron/Total
Iron Bind.Cap.
%Saturation
- - - - -
 1.4
0.5
54
158
18
18
18
6.2
112
360
31
- - - - -


January 11, 1995
Appointment with Dr. Carson - annual physical. Things look good, but would like to see me reduce some "non-critical" meds. Reduce Paxil 1/week to eliminate in 7-weeks. Reduce Xanax to 2/day for two weeks, then one/day. Reduce Zantac to only "as needed." All other stay the same.


Thursday, January 26, 1996
Began having "coughing jags" a few hours after going to sleep. Really got nasty by Tuesday, January 31st, called Dr. Stark: Sounds like Congestive Heart Failure again. Come in tomorrow.


Wednesday, February 1, 1995
Next scheduled appointment with Dr. Stark: 1:30PM


~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Resource Directory

Relevant Phone Numbers and Addresses or Internet Links:
~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~
Jon & Sheri Duffey 209 Westwinds Drive North
Palm Harbor, FL 34683		 813-937-2294
Wife's work Largo Target Store 813-581-6000
~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~
Dr. Tom Carson
Family (PCP) Physician		 1259 South Pinellas Avenue
Tarpon Springs FL 34689		 938-1908
FAX#937-XXXX
~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~
Drs. Stephen Stark
& Norman Abbott
Primary Cardiologists		 Palms Cardiac Center
2626 Tampa Road
Palm Harbor FL 34684		 813-787-4875
FAX#786-9623

~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~
Drs. Andrew Hazlitt

& Jose Gallastegui

EP/AICD Specialist		 Morton-Plant Hospital
Electro-Physiology Lab
Palm Harbor Office
30522 US-19 Suite 300
Palm Harbor FL 34684
Emergencies:
 813-462-7760

813-789-0021
FAX# 786-7300

813-586-0021
~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~
Drs. Gary Dworkin
& Richard Murbach
(Heart Surgeons)		 Cardiac Surgical Associates
906 South Fort Harrison Avenue
Clearwater, FL 34616		 813-446-2273

FAX# 441-4966
~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~
Morton

Plant

Hospital		 323 Jeffords Street
Clearwater, FL 34617
John & Mitch/EP lab -or-
Debi/Pacemaker Clinic
B3/B4 Cardiac Care

 813-462-7000

813-462-7760
813-462-7461
813-461-8353
FAX# 461-8561
~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~
Morton Plant/Mease
Countryside Hospital		 3231 McMullen Booth Road
Safety Harbor, FL 34695		 813-725-6111
~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~
Helen Ellis
Memorial Hospital		 1395 South Pinellas Avenue
Tarpon Springs, FL 34689		 813-942-5000
~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~
Attorney
Debra Bushnel		 204 Scotland,
Dunedin, FL 34898		 733-9064
FAX#733-0582
~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~
WTSP-TV

10-News

(Employer)		 Robyn Smythe,
News Director
Clare Toomy, Benefits Adm.
Dan Reynolds, Business Mgr
11450 Gandy Boulevard
St. Petersburg, FL 33702		 577-6397
FAX# 576-6924
813-577-8429
813-577-8427
FAX# 578-7637

~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~
Cardiac Pacemakers Inc.
Guidant Corp. (CPI/ACS)
Advanced Cardiovascular Systems		 CPI Internet Link
A.I.C.D. Maker
ACS Internet Link
Angioplasty Materials		 1-800-CARDIAC

1-800-633-3375
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