CONTACTS
SUBJECTS
Dizzy Head Spinning Disoriented Medical Disorder Health Care Problem
0703 -
0703 - ..
0704 - Summary/Objective
0705 -
070501 - Follow up
070502 -
070503 -
070504 -
070506 - ..
0706 -
0707 -
0708 - Progress
0709 -
070901 - This morning OA 0400 woke up for some reason, and turned to sleep on
070902 - the other side. Noticed immediately an uneasy, dizzy feeling.
070904 - ..
070905 - This has occured previously, but usually ends within a minute or so,
070906 - reported in a letter to Robin on 120528 0913. ref SDS 10 OG8T
070908 - ..
070909 - Robin suffered extreme dizziness, reported in her letter on 120601
070910 - 2232. ref SDS 11 YQ8U
070912 - ..
070913 - At that time, research found dizziness can be a symptom of "paroxysmal
070914 - positional vertigo" reported in the record on 120603 0910. ref SDS 12
070915 - S36G Eply's manuever can relieve dizziness caused by disorder in ear
070916 - canals, reported on 120603 0910. ref SDS 12 S36N
070918 - ..
070919 - Dizziness can be a circulatory issue reported in research on 110724
070920 - 1547. ref SDS 5 VJ6O which relates to having 4x cabg on 091022 0700.
070921 - ref SDS 1 PQWU
070923 - ..
070924 - Yesterday seemed weak walking around Costco, reported on 120814 1332.
070925 - ref SDS 13 G54I Attributed this to minimal sleep the night before, and
070926 - to recent increase in exercise with hotter weather the past week,
070927 - reported in case study on 101010 0744. ref SDS 3 BZ3H
070928 -
070929 -
070931 - ..
0710 -
0711 -
0712 - 0806
0713 -
071301 - Still feeling dizzy, even sitting up in the chair and working.
071302 -
071304 - ..
0714 -
0715 -
0716 - 0845
0717 -
071701 - Still feeling dizzy.
071702 -
071703 - Research on Interent shows some correlation between dizzy and CAD...
071704 -
071705 - 1. Heart conditions that cause dizziness...
071706 -
071707 - http://www.buzzle.com/articles/heart-conditions-that-cause-dizziness.html
071709 - ..
071710 - There are many heart conditions that can cause dizziness.
071711 - Moreover, it is said that dizziness is one of the major
071712 - symptoms observed when you are suffering from a particular
071713 - heart disease. But which are these conditions? Let us find
071714 - out...
071716 - ..
071717 - 1. Vascular Vertigo
071718 -
071719 - Vascular relates to the blood vessels. Vascular vertigo
071720 - indicates a condition marked by reduced blood supply to
071721 - the different body parts. The blood circulation to the
071722 - lowermost part of the brain, is especially reduced. This
071723 - reduced blood circulation causes dizziness. Vascular
071724 - vertigo may be caused due to a family history of heart
071725 - attacks, strokes, or high blood pressure. Thus, dizziness
071726 - is the major symptom in vascular vertigo.
071728 - ..
071729 - Seems possible, but no history of high blood pressure, shown in case
071730 - study on 101010 0744. ref SDS 3 BZ3H
071732 - ..
071733 - Article heart condition causing dizziness continues...
071734 -
071735 - 2. Arteriosclerosis
071736 -
071737 - Arteriosclerosis is a condition of narrowing of the lumen
071738 - of arteries (Due to fat deposition) and can reduce the
071739 - blood supply to important organs like the heart, brain
071740 - and intestines. When the blood supply to the heart is
071741 - reduced, the major symptom observed is dizziness and a
071742 - feeling that you are fainting. Breathlessness is also
071743 - commonly observed along with the dizziness.
071745 - ..
071746 - No shortness of breath. Don't feel faint, but am disoriented.
071748 - ..
071749 - Article heart condition causing dizziness continues...
071750 -
071751 - 3. Angina Pectoris
071752 -
071753 - Angina pectoris is nothing but severe pain in chest,
071754 - brought on by a heart suffering from insufficient supply of
071755 - oxygen. When the heart's oxygen demand is not met, it
071756 - leads to angina pectoris. Dizziness and nausea are the
071757 - main symptoms seen in the patients suffering from angina
071758 - pectoris. It is commonly seen in men above 50 and women
071759 - after their menopause.
071761 - ..
071762 - No chest pain.
071764 - ..
071765 - Article heart condition causing dizziness continues...
071766 -
071767 - 4. Coronary Artery Disease
071768 -
071769 - Dizziness along with the feeling of fullness and shortness
071770 - of breath are common symptoms of coronary artery diseases.
071771 - Severe chest pain is the major symptom in coronary artery
071772 - disease.
071774 - ..
071775 - No chest pain, no shortness of breath.
071777 - ..
071778 - Article heart condition causing dizziness concludes...
071779 -
071780 - 5. Whenever you suffer from dizziness, you must consult a
071781 - doctor. Do not ignore your heart health, otherwise it will
071782 - prove to be very dangerous. However, heart condition is
071783 - not always a major cause of dizziness. Therefore, it is
071784 - necessary to get a check up from the doctor whenever you
071785 - experience bouts of dizziness.
071786 -
071787 -
071788 -
071790 - ..
0718 -
0719 -
0720 - 0945
0721 -
072101 - Dizziness substantially subsided.
072102 -
072103 - Will consult medical team, per published guidance, see above.
072104 - ref SDS 0 H57K
072105 -
072106 - [On 120906 1100 reported dizziness to Doctor Egan,
072107 - ref SDS 14 5L6H Rosuvastatin 10 mg reduced from 20 mg to
072108 - reduce side effects of dizziness. ref SDS 14 W16H
072109 -
072110 -
072111 -
072112 -
072114 - ..
0722 -
0723 -
0724 - 1205
0725 -
072501 - Drove to VA Medical Center.
072502 -
072503 - Met with Ramon in Cardiothroacic Surgery Administration office.
072505 - ..
072506 - Ramon introduced...
072507 -
072508 - Greg Bennett, RN
072509 - Cardiothroacic Case Manager
072510 - San Francisco VA Medical Center
072511 - United States Department of Veteranss Affairs
072512 - 4150 Clement Street
072513 - San Francisco, CA 94121
072514 -
072515 - 415 221 4810 Ext 3240
072516 - Cell: 415 559 2291
072517 -
072518 - greg.bennett@va.gov
072520 - ..
072521 - Reviewed patient history...
072522 -
072523 - 1. Heart bypass - 4x CABG performed at VA San Francisco
072524 - Medical Center on 091022, Doctor Tseng attending, and Neil
072525 - Camberro lead surgeon with KC, Paula attending surgeons,
072526 - reported in the record on 091022 0700. ref SDS 1 PQWU
072528 - ..
072529 - 2. Routine recovery despite complications of achalasia that
072530 - hindered swallowing, reported on 091030 0810. ref SDS 2
072531 - 03GF, and further diagnosis of DVT caused by cordis
072532 - catheter, reported on 091030 0810. ref SDS 2 1N6L
072534 - ..
072535 - 3. Within approximately 6 months after surgery, patient
072536 - resumed full activity, including increased aerobic exercise
072537 - doing 100 pushups and windmills, and hiking 3 - 11 miles
072538 - per day 4 - 6 days a week, shown in case study on 101010
072539 - 0744. ref SDS 3 Q063
072541 - ..
072542 - 4. Cholesterol not reduced enough (i.e., < 70) with
072543 - Simvastatin 40 mg, reported on 110309 0900, ref SDS 4
072544 - ZM98, and patient suffered severe myopathy in left shoulder
072545 - that prevented doing pushups, so treatment was switched to
072546 - Rosuvastatin 10 mg, reported on 110817 1030. ref SDS 6 DG36
072548 - ..
072549 - 5. Cholesterol increased significantly with Rosuvastatin 10
072550 - mg, so increased dose to Rosuvastatin 20 mg, reported on
072551 - 111117 1415. ref SDS 7 IM9N Delay receiving refill on
072552 - Rosuvastatin 20 mg, caused 3 week gap in medication. LDL
072553 - cholesterol increased again, reported on 111117 1415.
072554 - ref SDS 7 7M42
072556 - ..
072557 - 6. Rosuvastatin 20 mg continued despite rise of LDL
072558 - cholesterol. 120216 1000, ref SDS 8 DG36
072560 - ..
072561 - 7. Peripheral neuropathy right foot reported beginning on
072562 - 120422, after switching from Simvastatin to Rosuvastatin,
072563 - and increasing from 10 to 20 mg, shown in case study on
072564 - 101010 0744. ref SDS 3 RQQT
072566 - ..
072567 - 8. Cholesterol LDL 92 dropped significantly to lowest level in
072568 - patient history; Rosuvastatin 20 mg continued to reduce LDL
072569 - < 70, reported on 120514 1300. ref SDS 9 X45G
072571 - ..
072572 - 9. Peripheral neuropathy right foot severe impaired walking
072573 - for brief time, also, reported on 120514 1300. ref SDS 9
072574 - 6I70
072576 - ..
072577 - Greg indicated that peripheral neuropathy primarily in the right foot
072578 - would not be expected to be caused by removing a vein in the right leg
072579 - during 4x cabg surgery on 091022, because...
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