Welch Company
San Francisco, CA


S U M M A R Y


DIARY: November 5, 2010 10:23 PM Friday; Rod Welch

VA notified a-fib like events ask about post-heart surgery stress test.

1...Summary/Objective


..............
Click here to comment!

CONTACTS 

SUBJECTS
A-fib Heart Reported Cardiothoracic CT Surgery Team Recent A-fib Eve

2003 -
2003 -    ..
2004 - Summary/Objective
2005 -
200501 - Follow up ref SDS 4 0M6S, ref SDS 3 PPXY.
200502 -
200503 -
200504 -
200506 -  ..
2006 -
2007 -
2008 - Progress
2009 -
200901 - Letter to VA Med Center CT team says...
200902 -
200903 -    1.  Subject: Heart Fibrillations, Welch SS....0144
200904 -        Date: Fri, 05 Nov 2010 23:01:27 -0700
200912 -         ..
200913 -    2.  Had heart surgery on 091022 - Doctor Elaine Tseng, attending,
200914 -        ref SDS 1 PQWU, with Neil, Paula, KC and others on the team.
200915 -        ref SDS 1 YS3F
200917 -         ..
200918 -    3.  The work went well.  A few days later had two (2) a-fib events,
200919 -        and recovered without complications, reported on 091024.
200920 -        ref SDS 2 HR7G
200922 -         ..
200923 -    4.  Since discharge on 091104, from time to time have felt physical
200924 -        sensations of a-fib events reported on 091024.  Since these
200925 -        have been isolated and infrequent they were not reported.
200927 -         ..
200928 -    5.  The past week, seem to be experiencing similar but more regular
200929 -        a-fib events in the late evenings and with varying durations of
200930 -        2 - 10 minutes.  These mostly occur when laying down.  This
200931 -        evening just noticed occurrance while sitting up and working,
200932 -        as I am now.
200933 -
200934 -            [On 101106 1533 notified Peggy and Bob of new a-fib
200935 -            events. ref SDS 8 YX4W
200937 -             ..
200938 -            [On 101108 0929 notified Martinez Clinic of communication
200939 -            with VA San Francisco Medical Center. ref SDS 9 6X9P
200941 -             ..
200942 -            [On 101109 1415 letter from Peggy seems to ask about
200943 -            response from doctor at VA on notice of a-fib events,
200944 -            saying it sounds "scarry." ref SDS 10 XR5H
200946 -             ..
200947 -            [On 101110 1216 sent another letter to VA, ref SDS 11 W54S,
200948 -            asking for feedback on the letter to the medical team on
200949 -            101105 2223, ref SDS 7 755I, reporting more frequent a-fib
200950 -            events. ref SDS 7 G68X
200952 -             ..
200953 -            [On 101115 1624 called Karen in Cardiology to facilitate
200954 -            feedback on correspondence reporting possible a-fib events.
200955 -            ref SDS 12 BF5J
200957 -             ..
200958 -            [On 101115 1624 television commercial claims atrial
200959 -            fibrillation (a-fib) can cause strokes; called Karen in
200960 -            Cardiology Department VA Medical Center San Francisco
200961 -            asking about progress responding to letter reporting recent
200962 -            increase a-fib events. ref SDS 12 S070
200964 -             ..
200965 -            [On 101116 1722 letter from Peggy asking if arrangements
200966 -            for EDG test at VA are now settled? ref SDS 13 7P7X
200968 -             ..
200969 -            [On 101117 0530 met with VA Medical Center San Francisco
200970 -            Module #1; Neil has left cardiothoriacic surgery team;
200971 -            Ramone advised letters on 101105, and follow up 101110,
200972 -            were forwarded to Michael Byrd in General Surgery on 3rd
200973 -            Floor. ref SDS 14 PPWU
200975 -             ..
200976 -            [On 101223 1030 not enough time for primary care physician
200977 -            to review afib episodes reported to medical team on 101105,
200978 -            and notified again on 101110. ref SDS 15 JF5N
200980 -             ..
200981 -            [On 110304 1126 scheduled meeting Doctor Egan on 110309 in
200982 -            Cardiology Department VA Martinez. ref SDS 16 MY9V
200984 -         ..
200985 -    6.  Symptom is simply upper body sways back and forth.  Not sure
200986 -        the heart is beating any faster, it just seems to impart motion
200987 -        to the body.  Sometimes my face feels flush and sort of weak.
200988 -        There is no pain, shortness of breath, nor duress of any kind.
200990 -         ..
200991 -    7.  The most recent event just ended while writing this letter, and
200992 -        I feel essentially normal.
200994 -         ..
200995 -    8.  On 101010, began tracking medication against exercise and
200996 -        vitals. ref SDS 6 QJ5I
200998 -         ..
200999 -    9.  The chart shows recovery from cabg with rising physical
201000 -        activity and stronger cardio function, until a few days ago,
201001 -        when I must have caught some kind of something, and had to back
201002 -        off a bit. ref SDS 6 VK3J
201004 -         ..
201005 -   10.  Don't know significance of a-fib symptoms, if any.  Just
201006 -        letting the team know.  Thought it might a good idea to do
201007 -        follow up stress test to compare with results that led to
201008 -        angiogram, and then heart surgery.  What does the team think?
201009 -
201010 -            [On 101109 1415 letter from Peggy seems to ask about
201011 -            response from doctor at VA on notice of a-fib events,
201012 -            saying it sounds "scarry." ref SDS 10 XR5H
201014 -             ..
201015 -            [On 101116 1722 letter from Peggy asking if arrangements
201016 -            for EDG test at VA are now settled? ref SDS 13 7P7X
201018 -             ..
201019 -            [On 101117 0530 met with VA Medical Center San Francisco
201020 -            Module #1; Neil has left cardiothoriacic surgery team;
201021 -            Ramone advised letters on 101105, and follow up 101110,
201022 -            were forwarded to Michael Byrd in General Surgery on 3rd
201023 -            Floor. ref SDS 14 OS6H
201025 -         ..
201026 -   11.  Remain extremely grateful and impressed by the huge amount of
201027 -        work everyone did on my surgery, shown by review of medical
201028 -        chart, beginning on 100928 0706. ref SDS 5 NA4Y
201036 -         ..
201037 -   14.  PS.  Sending a copy to Doctor Sandhu at Martinez Clinic to
201038 -        support primary care ops.
201039 -
201040 -
201041 -
201042 -
201043 -
201044 -
2011 -